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SUSAN MARIE MERKLE
NPI 1285757138
Physician Assistant in Milton, MA

Active since April 07, 2007PECOS EnrolledAccepts Medicare Assignment
2 REEDSDALE RD, TOTAL HEALTH CARE, INC., MILTON, MA 02186(617) 698-0715(617) 698-7559 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Marie Merkle NPPES

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

SUSAN MARIE MERKLE (NPI 1285757138) is an individual physician assistant in Milton, Massachusetts, licensed in Massachusetts (1159) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285757138
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN MARIE MERKLE
Location Address2 REEDSDALE RD, TOTAL HEALTH CARE, INC.Milton, MA 02186-3324
Mailing Address2 Reedsdale Rd, Total Health Care, Inc.Milton, MA 02186-3324 · (617) 698-0715
Phone(617) 698-0715
Fax(617) 698-7559
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285757138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · 1159
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.
2 REEDSDALE RD, Milton, MA 02186
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Accepted Insurance

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

Susan Marie Merkle 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 ID4486750643
PECOS Enrollment IDI20070503000637
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 2

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 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.
65 services30 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.
38 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02186 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 3

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

RICHARD M DELANY MD
Internal Medicine (Cardiovascular Disease)
2 REEDSDALE RD
MILTON, MA 02186
Norfolk County (617) 698-0715
PERSONALIZED PREVENTIVE MEDICINE INC
Clinic/Center (Medical Specialty)
2 REEDSDALE RD
MILTON, MA 02186
Norfolk County (617) 698-0715
TOTAL HEALTH CARE, PC
Internal Medicine (Cardiovascular Disease)
2 REEDSDALE RD, KERRIGAN'S CORNER
MILTON, MA 02186
Norfolk County (617) 698-0715

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 Susan Merkle's NPI number?

The NPI number for Susan Merkle is 1285757138. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Susan Merkle located?

Susan Merkle practices at 2 Reedsdale Rd Total Health Care, Inc., Milton, MA 02186. The listed phone number is (617) 698-0715.

What is Susan Merkle's specialty?

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

Is Susan Merkle enrolled in Medicare?

Yes. Susan Merkle 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 Susan Merkle accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan Merkle 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.

When was this NPI record last updated?

The NPPES record for Susan Merkle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.