MS. ERIN J MERBOTH M.D.
NPI 1134485444
Pathology - Anatomic Pathology & Clinical Pathology in Colorado Springs, CO

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907(719) 776-5816 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Erin J Merboth M.d. NPPES

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

MS. ERIN J MERBOTH M.D. (NPI 1134485444) is an individual anatomic pathology & clinical pathology provider in Colorado Springs, Colorado, licensed in Colorado (50172) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and is a graduate of University Of Nebraska College Of Medicine (2008).

NPPES Registry Identity

NPI1134485444
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameMS. ERIN J MERBOTHCredential: M.D.
Location Address2222 N NEVADA AVEColorado Springs, CO 80907-6819
Mailing Address2222 N Nevada AveColorado Springs, CO 80907-6819 · (719) 776-5816
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2008
Enumeration DateApril 11, 2012
Last NPPES UpdateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
NPI 1134485444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CO · 50172
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2222 N NEVADA AVE, Colorado Springs, CO 80907

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

Ms. Erin J Merboth 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 ID4981859790
PECOS Enrollment IDI20130924000656, I20210608002988, I20250131000648
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 29

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
852 services500 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
498 services124 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
232 services188 patients
Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
219 services191 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
178 services84 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
153 services87 patients

Hospital Affiliations CMS Care Compare

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

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170023
Location401 East SpruceGarden City, KS 67846 · Finney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Improvement Activities40
Cost60.39

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.

Student in an Organized Health Care Education/Training Program
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Pharmacist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Radiology (Diagnostic Radiology)
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Emergency Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Internal Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Internal Medicine
2222 N NEVADA AVE, SUITE 2010
COLORADO SPRINGS, CO 80907
Hospitalist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Emergency Medicine
2222 N NEVADA AVE, EMERGENCY DEPARTMENT
COLORADO SPRINGS, CO 80907

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 Erin Merboth's NPI number?

The NPI number for Erin Merboth is 1134485444. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Erin Merboth located?

Erin Merboth practices at 2222 N Nevada Ave, Colorado Springs, CO 80907. The listed phone number is (719) 776-5816.

What is Erin Merboth's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Erin Merboth enrolled in Medicare?

Yes. Erin Merboth 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 Erin Merboth accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Texas list Erin Merboth 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 Erin Merboth affiliated with any hospitals?

According to CMS data, Erin Merboth is affiliated with Centura St. Catherine Hospital-Garden City.

When was this NPI record last updated?

The NPPES record for Erin Merboth was last updated on September 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.