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BETSY SALSBURY MERRELL M.D.
NPI 1265475636
Family Medicine in Hendersonville, NC

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
611 5TH AVE W STE B, HENDERSONVILLE, NC 28739(828) 698-3301(828) 698-7133 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Betsy Salsbury Merrell M.d. NPPES

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

BETSY SALSBURY MERRELL M.D. (NPI 1265475636) is an individual family medicine provider in Hendersonville, North Carolina, licensed in North Carolina (2005-01497) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265475636
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBETSY SALSBURY MERRELLCredential: M.D.
Location Address611 5TH AVE W STE BHendersonville, NC 28739
Mailing Address800 N Justice St # 16Hendersonville, NC 28791-3410 · (828) 694-8385 · Fax (828) 694-8385
Phone(828) 698-3301
Fax(828) 698-7133
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 20, 2018
✔ NPI 1265475636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2005-01497
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.
611 5TH AVE W STE B, Hendersonville, NC 28739
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Other Identifiers 2

Medicaid5903994NC
Other2053105CNC · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Betsy Salsbury Merrell 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 ID1759385354
PECOS Enrollment IDI20060927000320
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.

Hospital Affiliations CMS Care Compare 2

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28739 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers28 claims60 services$5.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$1.13 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$29.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

EMILY BROOKE FOWLER PA-C
Physician Assistant
611 5TH AVE W STE B
HENDERSONVILLE, NC 28739
Henderson County (828) 694-7700
DR. DANIEL BURT VEAZEY MD
Family Medicine
611 5TH AVE W STE B
HENDERSONVILLE, NC 28739
Henderson County (828) 698-3301

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 Betsy Merrell's NPI number?

The NPI number for Betsy Merrell is 1265475636. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Betsy Merrell located?

Betsy Merrell practices at 611 5th Ave W Ste B, Hendersonville, NC 28739. The listed phone number is (828) 698-3301.

What is Betsy Merrell's specialty?

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

Is Betsy Merrell enrolled in Medicare?

Yes. Betsy Merrell 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 Betsy Merrell accept?

Health plans from Blue Cross and Blue Shield of NC list Betsy Merrell 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 Betsy Merrell affiliated with any hospitals?

According to CMS data, Betsy Merrell is affiliated with Margaret R Pardee Memorial Hospital and Adventhealth Hendersonville.

When was this NPI record last updated?

The NPPES record for Betsy Merrell was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.