MERLYN J KAALLA D.O.
NPI 1316470594
Family Medicine in Conyers, GA

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1765 PARKER RD SE STE B240, CONYERS, GA 30094(770) 602-2970 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Jun 10, 2021, Apr 26, 2021 and 3 more (6 updates tracked since 2017).

About Merlyn J Kaalla D.o. NPPES

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

MERLYN J KAALLA D.O. (NPI 1316470594) is an individual family medicine provider in Conyers, Georgia, licensed in Georgia (85473) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316470594
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMERLYN J KAALLACredential: D.O.
Location Address1765 PARKER RD SE STE B240Conyers, GA 30094-6673
Mailing Address4302 Pond Edge RdSnellville, GA 30039-3971
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateSeptember 10, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1316470594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 85473
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.
1765 PARKER RD SE STE B240, Conyers, GA 30094

Secondary Practice Locations 3

Location 1777 Hemlock St, MSC 165, The Medical Center, Navicent HealthMacon, GA 31201 · Phone (404) 422-7560
Location 23780 Eisenhower PKWYMacon, GA 31206 · Phone (478) 633-5550 · Fax (478) 633-7287
Location 34250 Brownsville RdPowder Springs, GA 30127-2559 · Phone (678) 567-8000

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

Merlyn J Kaalla D.o. 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 ID2365793916
PECOS Enrollment IDI20210202003210
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.
46 services38 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30094 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
11 suppliers18 claims35 services$6.39 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

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

Nurse Practitioner
1765 PARKER RD SE STE B240
CONYERS, GA 30094

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 Merlyn Kaalla's NPI number?

The NPI number for Merlyn Kaalla is 1316470594. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Merlyn Kaalla located?

Merlyn Kaalla practices at 1765 Parker Rd SE Ste B240, Conyers, GA 30094. The listed phone number is (770) 602-2970.

What is Merlyn Kaalla's specialty?

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

Is Merlyn Kaalla enrolled in Medicare?

Yes. Merlyn Kaalla 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 Merlyn Kaalla accept?

Health plans from Alliant Health Plans, Inc. list Merlyn Kaalla 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 Merlyn Kaalla affiliated with any hospitals?

According to CMS data, Merlyn Kaalla is affiliated with Piedmont Newton Hospital and Piedmont Rockdale Hospital.

When was this NPI record last updated?

The NPPES record for Merlyn Kaalla was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.