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DR. DOUGLAS R. MERRITT M.D.
NPI 1093718322
Ophthalmology in Grants Pass, OR

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
92.65/100
CMS Quality Rating
1226 NE 7TH ST, GRANTS PASS, OR 97526(541) 476-6636(541) 476-6690 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas R. Merritt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS R. MERRITT M.D. (NPI 1093718322) is an individual ophthalmology provider in Grants Pass, Oregon, licensed in Oregon (MD16756) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1986).

NPPES Registry Identity

NPI1093718322
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DOUGLAS R. MERRITTCredential: M.D.
Location Address1226 NE 7TH STGrants Pass, OR 97526-1424
Mailing Address1226 Ne 7th StGrants Pass, OR 97526-1424 · (541) 476-6636 · Fax (541) 476-6690
Phone(541) 476-6636
Fax(541) 476-6690
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1986
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 6, 2011
✔ NPI 1093718322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OR · MD16756
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1226 NE 7TH ST, Grants Pass, OR 97526
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Other Identifiers 3

Medicare UPIND81900OR
Medicaid009477OR
Medicare UPIN100838OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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. Douglas R. Merritt 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.

PECOS PAC ID9931116928
PECOS Enrollment IDI20100825000200
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
350 services342 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
66 services66 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
60 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services46 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
47 services47 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost75.53

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAISHA LANGELLA O.D.
Optometrist
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (541) 476-6636
MATTHEW GUYMON D.O.
Ophthalmology
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (810) 606-5000
CASCADE EYECARE CENTER PC
Ophthalmology
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (541) 476-6636
DR. RUSSELL LEAVITT M.D.
Ophthalmology
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (541) 476-6636
DR. MARK MAFFETT M.D.
Ophthalmology
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (541) 476-6636
DR. MATTHEW DAVID FULLMER DO
Student in an Organized Health Care Education/Training Program
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (541) 476-6636
DR. JAMES LOWELL DAVIDIAN MD
Ophthalmology
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (541) 476-6636
RODNEY DERRICK LEAVITT M.D.
Ophthalmology
1226 NE 7TH ST
GRANTS PASS, OR 97526
Josephine County (541) 476-6636

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 Douglas Merritt's NPI number?

The NPI number for Douglas Merritt is 1093718322. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Douglas Merritt located?

Douglas Merritt practices at 1226 NE 7th St, Grants Pass, OR 97526. The listed phone number is (541) 476-6636.

What is Douglas Merritt's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Douglas Merritt enrolled in Medicare?

Yes. Douglas Merritt 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 Douglas Merritt accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Douglas Merritt 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.

When was this NPI record last updated?

The NPPES record for Douglas Merritt was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.