DANIEL MERCK
NPI 1164080669
Family Medicine in Grand Rapids, MI

Active since May 31, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 459-3158 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, May 31, 2019 (2 updates tracked since 2019).

About Daniel Merck NPPES

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

DANIEL MERCK (NPI 1164080669) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5151013944) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and maintains a secondary practice location in Wyoming.

NPPES Registry Identity

NPI1164080669
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL MERCK
Location Address1000 E PARIS AVE SE STE 100Grand Rapids, MI 49546-3680
Mailing Address1000 E Paris Ave Se Ste 100Grand Rapids, MI 49546-3680 · (616) 459-3158
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2019
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1164080669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5151013944
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.
1000 E PARIS AVE SE STE 100, Grand Rapids, MI 49546

Secondary Practice Location 1

Location 12093 Health Dr SW Ste 200Wyoming, MI 49519-9691 · Phone (616) 459-3158

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

Daniel Merck 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 ID6800292061
PECOS Enrollment IDI20210914000799
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 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.
134 services99 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services31 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.
26 services26 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
25 services25 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
17 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Internal Medicine
1000 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Family Medicine
1000 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Family Medicine
1000 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Family Medicine
1000 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner
1000 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546

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 Daniel Merck's NPI number?

The NPI number for Daniel Merck is 1164080669. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Daniel Merck located?

Daniel Merck practices at 1000 E Paris Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 459-3158.

What is Daniel Merck's specialty?

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

Is Daniel Merck enrolled in Medicare?

Yes. Daniel Merck 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 Daniel Merck accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Daniel Merck 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 Daniel Merck affiliated with any hospitals?

According to CMS data, Daniel Merck is affiliated with Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Merck was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.