DR. JEFFREY MERKLE MD
NPI 1295721165
Internal Medicine in Hackettstown, NJ

Q: What is Jeffrey Merkle's NPI number?

The NPI number for Jeffrey Merkle is 1295721165. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Jeffrey Merkle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Merkle was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment

254B MOUNTAIN AVE, SUITE 304, HACKETTSTOWN, NJ 07840(908) 852-6400(908) 852-6450 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jeffrey Merkle Md NPPES

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

DR. JEFFREY MERKLE MD (NPI 1295721165) is an individual internal medicine provider in Hackettstown, New Jersey, licensed in New Jersey (25MA07799200) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1295721165

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEFFREY MERKLECredential: MD

Location Address254B MOUNTAIN AVE, SUITE 304Hackettstown, NJ 07840-2413

Mailing AddressPo Box 95000 Lb# 7550Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495

Phone(908) 852-6400

Fax(908) 852-6450

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateSeptember 26, 2005

Last NPPES UpdateFebruary 12, 2018

✔ NPI 1295721165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA07799200

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 25MA07799200 (NJ)

254B MOUNTAIN AVE, Hackettstown, NJ 07840

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Other Identifiers 1

Medicaid0065129NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Jeffrey Merkle Md 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 ID3577518182

PECOS Enrollment IDI20050316000907

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 6

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 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.

218 services110 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

74 services74 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.

66 services50 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

56 services56 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

53 services53 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

38 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310028

Location175 High StNewton, NJ 07860 · Sussex County

Emergency services Birthing friendly

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310115

Location651 Willow Grove StHackettstown, NJ 07840 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07840 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

4 suppliers11 claims22 services$6.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers16 claims16 services$26.80 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 20

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

MICHELLE LANZAFAMA

Counselor (Mental Health)

254B MOUNTAIN AVE
HACKETTSTOWN, NJ 07840

Warren County (908) 852-5858

DR. MICHAEL S. GUTKIN MD

Physical Medicine & Rehabilitation

254B MOUNTAIN AVE, SUITE 201
HACKETTSTOWN, NJ 07840

Warren County (908) 684-5800

PAULA ZAPATA LPC

Counselor (Professional)

254B MOUNTAIN AVE
HACKETTSTOWN, NJ 07840

Warren County (908) 852-5858

BURAK ALPTEKIN M.D.

Physical Medicine & Rehabilitation

254B MOUNTAIN AVE, SUITE 201
HACKETTSTOWN, NJ 07840

Warren County (908) 684-5800

ALYSSA BOROZAN

Counselor (Mental Health)

254B MOUNTAIN AVE
HACKETTSTOWN, NJ 07840

Warren County (908) 852-5858

DR. JAY STEPHEN SWEIFACH D.S.W., L.C.S.W.

Social Worker (Clinical)

254B MOUNTAIN AVE, SUITE 202
HACKETTSTOWN, NJ 07840

Warren County (908) 979-1144

MS. DONNA SARA ETKINS LCSW

Social Worker (Clinical)

254B MOUNTAIN AVE, SUITE 202
HACKETTSTOWN, NJ 07840

Warren County (908) 979-1144

REBEKAH HAZEKAMP LPC

Counselor (Professional)

254B MOUNTAIN AVE, SUITE 202
HACKETTSTOWN, NJ 07840

Warren County (908) 979-1144

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 Merkle's NPI number?

The NPI number for Jeffrey Merkle is 1295721165. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Jeffrey Merkle located?

Jeffrey Merkle practices at 254B Mountain Ave Suite 304, Hackettstown, NJ 07840. The listed phone number is (908) 852-6400.

What is Jeffrey Merkle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeffrey Merkle enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Merkle accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jeffrey 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.

Is Jeffrey Merkle affiliated with any hospitals?

According to CMS data, Jeffrey Merkle is affiliated with Morristown Medical Center, Newton Medical Center, St Luke's Warren Hospital and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Merkle was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.