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: July 19, 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 Upmc Memorial, 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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
1,475 services22 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
272 services25 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.
118 services73 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.
87 services54 patients
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.
87 services84 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.
76 services61 patients

Hospital Affiliations CMS Care Compare 2

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

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

Oss Orthopaedic Hospital

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

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.

Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Anesthesiology (Pain Medicine)
1855 POWDER MILL RD
YORK, PA 17402
Anesthesiology (Pain Medicine)
1855 POWDER MILL RD
YORK, PA 17402
Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Occupational Therapist
1855 POWDER MILL RD
YORK, PA 17402
Specialist/Technologist (Athletic Trainer)
1855 POWDER MILL RD
YORK, PA 17402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184025116, enumerated as an "individual" on September 09, 2014.

The provider is located at 1855 POWDER MILL RD YORK, PA 17402 and the phone number is (717) 848-4800.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Austin Merges is affiliated with: UPMC MEMORIAL and OSS ORTHOPAEDIC HOSPITAL.