MICHAEL MERKLEY
NPI 1336569979
Ophthalmology in Meridian, ID

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
3581 E OVERLAND RD, MERIDIAN, ID 83642(208) 629-7291(208) 629-7488 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2024, May 8, 2023, Aug 19, 2019 and 2 more (5 updates tracked since 2016).

About Michael Merkley NPPES

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

MICHAEL MERKLEY (NPI 1336569979) is an individual ophthalmology provider in Meridian, Idaho, licensed in Idaho (M16212) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with West Valley Medical Center, and is a graduate of Saint Louis University School Of Medicine (2014).

NPPES Registry Identity

NPI1336569979
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL MERKLEY
Location Address3581 E OVERLAND RDMeridian, ID 83642-6757
Mailing Address3581 E Overland RdMeridian, ID 83642-6757 · (208) 629-7291 · Fax (208) 629-7488
Fax(208) 629-7488
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2014
Enumeration DateApril 22, 2014
Last NPPES UpdateSeptember 27, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1336569979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in ID · M16212
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3581 E OVERLAND RD, Meridian, ID 83642

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

Michael Merkley 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 ID7719214733
PECOS Enrollment IDI20220615000481
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 12

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
133 services88 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
118 services68 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
105 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
84 services84 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
67 services66 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
53 services52 patients

Hospital Affiliations CMS Care Compare

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

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID
5/5 CMS rating
OwnershipProprietary
CMS Certification Number130014
Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost52.06

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.

Ophthalmology
3581 E OVERLAND RD
MERIDIAN, ID 83642
Radiology (Vascular & Interventional Radiology)
3581 E OVERLAND RD
MERIDIAN, ID 83642
Clinic/Center (Radiology)
3581 E OVERLAND RD
MERIDIAN, ID 83642

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 Michael Merkley's NPI number?

The NPI number for Michael Merkley is 1336569979. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Michael Merkley located?

Michael Merkley practices at 3581 E Overland Rd, Meridian, ID 83642. The listed phone number is (208) 629-7291.

What is Michael Merkley's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Merkley enrolled in Medicare?

Yes. Michael Merkley 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 Michael Merkley accept?

Health plans from Providence Health Plan and Select Health list Michael Merkley 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 Michael Merkley affiliated with any hospitals?

According to CMS data, Michael Merkley is affiliated with West Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Merkley was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.