DR. KAELIN COLLEEN MERVELDT M.D.
NPI 1104088517
Internal Medicine - Nephrology in Oklahoma City, OK

Q: What is Kaelin Merveldt's NPI number?

The NPI number for Kaelin Merveldt is 1104088517. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Dr. Kaelin Colleen Volpini M.D..

Q: What is Kaelin Merveldt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Kaelin Merveldt was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment

81.02/100

CMS Quality Rating

13901 MCAULEY BLVD, SUITE 100, OKLAHOMA CITY, OK 73134(405) 748-5800 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kaelin Colleen Merveldt M.d. NPPES

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

DR. KAELIN COLLEEN MERVELDT M.D. (NPI 1104088517) is an individual nephrology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (29625) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of University Of Texas Medical School At Houston (2008).

NPPES Registry Identity

NPI1104088517

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. KAELIN COLLEEN MERVELDTCredential: M.D.

Location Address13901 MCAULEY BLVD, SUITE 100Oklahoma City, OK 73134-8700

Mailing Address13901 Mcauley Blvd, Suite 100Oklahoma City, OK 73134-8700 · (405) 748-5800

Phone(405) 748-5800

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2008

Enumeration DateJune 26, 2008

Last NPPES UpdateNovember 5, 2013

✔ NPI 1104088517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OK · 29625

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.055161 (IL)

13901 MCAULEY BLVD, Oklahoma City, OK 73134

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Other Names 1

Former Name (1)Dr. Kaelin Colleen Volpini M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica 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. Kaelin Colleen Merveldt 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 ID3870733835

PECOS Enrollment IDI20130716000254

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 15

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 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.

315 services230 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

299 services125 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

224 services34 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

183 services174 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

157 services89 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

134 services119 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

129 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

118 services82 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

112 services20 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

65 services41 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

57 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

42 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipPhysician

CMS Certification Number370215

Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370234

Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County

Emergency services

Mercy Hospital Guthrie

Critical Access Hospitals · Guthrie, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number371317

Location200 S Academy RdGuthrie, OK 73044 · Logan County

Emergency services

Share Medical Center

Critical Access Hospitals · Alva, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371341

Location800 Share DriveAlva, OK 73717 · Woods County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73134 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

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.

81.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.5

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

66%414 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

33%218 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,508 patients4/55-star benchmark: 100%

e-Prescribing

97%1,043 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%635 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

35%852 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 91% · 412 patients

Patients screened: 99% · 412 patients

3%35 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%878 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 652 patients

Patients totalRate: 1% · 652 patients

1%652 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 5

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

DR. JANA FREEMAN M.D.

Pediatrics

13901 MCAULEY BLVD, SUITE 220
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 755-6102

OKLAHOMA KIDNEY CARE PC

Internal Medicine (Nephrology)

13901 MCAULEY BLVD, 303
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 748-5800

PARRINGTON & FREEMAN, PLLC

Pediatrics

13901 MCAULEY BLVD, SUITE 220
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 755-6102

OKLAHOMA KIDNEY CARE DIALYSIS, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

13901 MCAULEY BLVD
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 748-5800

LORRAINE T WILSON MD

Internal Medicine (Nephrology)

13901 MCAULEY BLVD, SUITE 303
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 748-5800

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 Kaelin Merveldt's NPI number?

The NPI number for Kaelin Merveldt is 1104088517. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Dr. Kaelin Colleen Volpini M.D..

Where is Kaelin Merveldt located?

Kaelin Merveldt practices at 13901 Mcauley Blvd Suite 100, Oklahoma City, OK 73134. The listed phone number is (405) 748-5800.

What is Kaelin Merveldt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kaelin Merveldt enrolled in Medicare?

Yes. Kaelin Merveldt 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 Kaelin Merveldt accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica, Mending Health and UnitedHealthcare list Kaelin Merveldt 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 Kaelin Merveldt affiliated with any hospitals?

According to CMS data, Kaelin Merveldt is affiliated with Mercy Hospital Oklahoma City, Inc, Oklahoma Heart Hospital, LLC, Oklahoma Heart Hospital South, LLC, Mercy Hospital Guthrie and Share Medical Center.

When was this NPI record last updated?

The NPPES record for Kaelin Merveldt was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.