DR. PAUL MERGO M.D.
NPI 1093249617
Internal Medicine in Pontiac, MI
About Dr. Paul Mergo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL MERGO M.D. (NPI 1093249617) is an individual internal medicine provider in Pontiac, Michigan, licensed in Michigan (IN PROGRESS) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and maintains a secondary practice location in Klamath Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul Mergo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 76
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sky Lakes Medical Center
Acute Care Hospitals · Klamath Falls, ORLexington Medical Center
Acute Care Hospitals · West Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Mergo's NPI number?
The NPI number for Paul Mergo is 1093249617. It was assigned to this individual provider in the NPPES registry on April 20, 2017.
Where is Paul Mergo located?
Paul Mergo practices at 44405 Woodward Ave H-23, Pontiac, MI 48341. The listed phone number is (248) 858-3000.
What is Paul Mergo's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paul Mergo enrolled in Medicare?
Yes. Paul Mergo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Paul Mergo accept?
Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Paul Mergo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Paul Mergo affiliated with any hospitals?
According to CMS data, Paul Mergo is affiliated with Sky Lakes Medical Center and Lexington Medical Center.
When was this NPI record last updated?
The NPPES record for Paul Mergo was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.