1. Home
  2. Directory
  3. Wisconsin
  4. Mequon
  5. Emergency Medicine
  6. NPI Profile

JEFFREY A MERLIN M.D.
NPI 1174812085
Emergency Medicine in Mequon, WI

Active since March 31, 2011PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
13111 N PORT WASHINGTON RD, MEQUON, WI 53097(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey A Merlin M.d. NPPES

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

JEFFREY A MERLIN M.D. (NPI 1174812085) is an individual emergency medicine provider in Mequon, Wisconsin, licensed in Wisconsin (62760-20) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2010).

NPPES Registry Identity

NPI1174812085
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEFFREY A MERLINCredential: M.D.
Location Address13111 N PORT WASHINGTON RDMequon, WI 53097-2416
Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755
Phone(414) 290-6720
Fax(414) 290-6755
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2010
Enumeration DateMarch 31, 2011
Last NPPES UpdateAugust 21, 2014
✔ NPI 1174812085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 62760-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
13111 N PORT WASHINGTON RD, Mequon, WI 53097
Open in Google Maps ↗

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

Jeffrey A Merlin 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 ID8921228453
PECOS Enrollment IDI20181228000746
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
152 services148 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
116 services114 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
60 services58 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

VICTORIA JANE LEPOLD
Student in an Organized Health Care Education/Training Program
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
CARDIOGRAPHICS PHYSICIANS ST. MARY'S OZAUKEE
Internal Medicine (Cardiovascular Disease)
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
MRS. KIM ANN GLASER MS CCC-SLP
Speech-Language Pathologist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-5757
LAURA ALAR R.PH.
Pharmacist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7342
EDWIN BACALSO
Social Worker (Clinical)
13111 N PORT WASHINGTON RD
THIENSVILLE, WI 53097
Ozaukee County (262) 243-6127
JANET SUSAN INGOLD PTA
Physical Therapy Assistant
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MRS. ELIZABETH SHEPLER CRNA
Nurse Anesthetist, Certified Registered
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7408
INFINITY HEALTHCARE PHYSICIANS, S.C.
Emergency Medicine
13111 N PORT WASHINGTON RD, COLUMBIA ST. MARY'S - OZAUKEE CAMPUS
MEQUON, WI 53097
Ozaukee County (414) 290-6718

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 Jeffrey Merlin's NPI number?

The NPI number for Jeffrey Merlin is 1174812085. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Jeffrey Merlin located?

Jeffrey Merlin practices at 13111 N Port Washington Rd, Mequon, WI 53097. The listed phone number is (414) 290-6720.

What is Jeffrey Merlin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeffrey Merlin enrolled in Medicare?

Yes. Jeffrey Merlin 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Merlin was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.