AUSTIN MERGES PA-C
NPI 1184025116
Physician Assistant in York, PA

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
1855 POWDER MILL RD, YORK, PA 17402(717) 848-4800(717) 741-9867 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Austin Merges Pa-c NPPES

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

AUSTIN MERGES PA-C (NPI 1184025116) is an individual physician assistant in York, Pennsylvania and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184025116
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAUSTIN MERGESCredential: PA-C
Location Address1855 POWDER MILL RDYork, PA 17402-4723
Mailing Address1861 Powder Mill Rd, Attn Medical Staff OfficeYork, PA 17402-4723 · (717) 718-2041 · Fax (717) 718-3470
Fax(717) 741-9867
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 9, 2014
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1184025116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1855 POWDER MILL RD, York, PA 17402

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

Austin Merges Pa-c 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 ID9335461870
PECOS Enrollment IDI20141211001013
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 10

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
51 services50 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.
27 services27 patients
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.
27 services27 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services23 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
22 services22 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Oss Orthopaedic Hospital

Acute Care Hospitals · York, PA
OwnershipProprietary
CMS Certification Number390325
Location1861 Powder Mill RdYork, PA 17402 · York County

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.73
Promoting Interoperability100
Improvement Activities40
Cost93.32

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.

Nurse Practitioner (Acute Care)
1855 POWDER MILL RD
YORK, PA 17402
Physician Assistant
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Family Medicine
1855 POWDER MILL RD
YORK, PA 17402
Occupational Therapist (Hand)
1855 POWDER MILL RD
YORK, PA 17402

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 Austin Merges's NPI number?

The NPI number for Austin Merges is 1184025116. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Austin Merges located?

Austin Merges practices at 1855 Powder Mill Rd, York, PA 17402. The listed phone number is (717) 848-4800.

What is Austin Merges's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Austin Merges enrolled in Medicare?

Yes. Austin Merges 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 Austin Merges accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Austin Merges 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 Austin Merges affiliated with any hospitals?

According to CMS data, Austin Merges is affiliated with Wellspan York Hospital, Upmc Memorial, Upmc Hanover, Oss Orthopaedic Hospital and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Austin Merges was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.