BENJAMIN RAY MERBLER
NPI 1134748114
Family Medicine in Ashland, OR

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
628 N MAIN ST, ASHLAND, OR 97520(541) 201-4930 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Apr 10, 2020 (2 updates tracked since 2020).

About Benjamin Ray Merbler NPPES

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

BENJAMIN RAY MERBLER (NPI 1134748114) is an individual family medicine provider in Ashland, Oregon, licensed in Oregon (DO217148) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2020).

NPPES Registry Identity

NPI1134748114
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN RAY MERBLER
Location Address628 N MAIN STAshland, OR 97520-1710
Mailing Address628 N Main StAshland, OR 97520-1710 · (541) 201-4930 · Fax (541) 201-4931
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
NPI 1134748114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · DO217148
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
628 N MAIN ST, Ashland, OR 97520

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

Benjamin Ray Merbler 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 ID9133511611
PECOS Enrollment IDI20240105003863
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 11

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.
668 services300 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.
174 services138 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
75 services75 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.
43 services43 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services38 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR
OwnershipGovernment - Local
CMS Certification Number380005
Location280 Maple StreetAshland, OR 97520 · Jackson County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97520 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.08
Promoting Interoperability100
Improvement Activities40
Cost63.86

Other Providers at the Same Location NPPES 7

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

Family Medicine
628 N MAIN ST
ASHLAND, OR 97520
Specialist
628 N MAIN ST
ASHLAND, OR 97520
Pediatrics (Developmental - Behavioral Pediatrics)
628 N MAIN ST
ASHLAND, OR 97520
Internal Medicine
628 N MAIN ST
ASHLAND, OR 97520
Nurse Practitioner (Family)
628 N MAIN ST
ASHLAND, OR 97520
Internal Medicine
628 N MAIN ST
ASHLAND, OR 97520
Pediatrics (Pediatric Hematology-Oncology)
628 N MAIN ST
ASHLAND, OR 97520

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 Benjamin Merbler's NPI number?

The NPI number for Benjamin Merbler is 1134748114. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Benjamin Merbler located?

Benjamin Merbler practices at 628 N Main St, Ashland, OR 97520. The listed phone number is (541) 201-4930.

What is Benjamin Merbler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Merbler enrolled in Medicare?

Yes. Benjamin Merbler 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 Benjamin Merbler accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Benjamin Merbler 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 Benjamin Merbler affiliated with any hospitals?

According to CMS data, Benjamin Merbler is affiliated with Asante Three Rivers Medical Center, Asante Ashland Community Hospital, Asante Rogue Regional Medical Center and Providence Medford Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Merbler was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.