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DR. CARLOS ALBERTO MERCADO MD
NPI 1366444051
Internal Medicine - Nephrology in St George, UT

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
624 S 1000 E STE 103, ST GEORGE, UT 84790(435) 652-1135(435) 652-1190 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2021, May 12, 2016 (2 updates tracked since 2016).

About Dr. Carlos Alberto Mercado Md NPPES

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

DR. CARLOS ALBERTO MERCADO MD (NPI 1366444051) is an individual nephrology provider in St George, Utah, licensed in Utah (6787613-1205) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mesa View Regional Hospital, and maintains a secondary practice location in Cedar City.

NPPES Registry Identity

NPI1366444051
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. CARLOS ALBERTO MERCADOCredential: MD
Location Address624 S 1000 E STE 103St George, UT 84790-5902
Mailing Address624 S 1000 E Ste 103St George, UT 84790-5902 · (435) 652-1135 · Fax (435) 652-1190
Phone(435) 652-1135
Fax(435) 652-1190
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 11, 2005
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1366444051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in UT · 6787613-1205
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
624 S 1000 E STE 103, St George, UT 84790
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Other Names 1

Other Name (5)Dr. Carlos Alberto Mercado Neira M.d

Secondary Practice Location 1

Location 11320 N Main St Ste 103Cedar City, UT 84721-1230 · Phone (435) 652-1135 · Fax (435) 652-1190

Other Identifiers 1

Medicaid1366444051UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Molina Healthcare, Select Health and more.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. Carlos Alberto Mercado 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 ID143252791
PECOS Enrollment IDI20080709000085
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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
370 services200 patients
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.
263 services202 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
153 services51 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
140 services60 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.
114 services104 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
107 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Mesa View Regional Hospital

Critical Access Hospitals · Mesquite, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number291307
Location1299 Bertha Howe AvenueMesquite, NV 89027 · Clark County
Emergency services

Grover C Dils Medical Center

Critical Access Hospitals · Caliente, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number291312
Location700 N Spring St, Box 1010-C-Adm BldgCaliente, NV 89008 · Lincoln County
Emergency services

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Garfield Memorial Hospital

Critical Access Hospitals · Panguitch, UT
OwnershipVoluntary non-profit - Other
CMS Certification Number461333
Location200 North 400 EastPanguitch, UT 84759 · Garfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 7

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers93 claims4,763 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers28 claims4,125 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers60 claims8,104 services$0.19 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims780 services$2.57 avg. paid by Medicare
Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims3,600 services$3.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
10 suppliers122 claims122 services$18.32 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 5

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

ST GEORGE KIDNEY CARE LLC
Internal Medicine (Nephrology)
624 S 1000 E STE 103
ST GEORGE, UT 84790
Washington County (435) 652-1135
ANDREW MICHAEL PATCHETT D.O.
Internal Medicine (Nephrology)
624 S 1000 E STE 103
ST GEORGE, UT 84790
Washington County (435) 652-1135
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Clinical Medical Laboratory
624 S 1000 E STE 103
SAINT GEORGE, UT 84790
Washington County (435) 652-1135
GREG ERIC LARSEN APRN
Nurse Practitioner
624 S 1000 E STE 103
ST GEORGE, UT 84790
Washington County (435) 652-1135
DR. CARLOS A LEON M.D.
Internal Medicine (Nephrology)
624 S 1000 E STE 103
ST GEORGE, UT 84790
Washington County (435) 652-1135

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 Carlos Mercado's NPI number?

The NPI number for Carlos Mercado is 1366444051. It was assigned to this individual provider in the NPPES registry on August 11, 2005. The provider is also known as Dr. Carlos Alberto Mercado Neira M.D.

Where is Carlos Mercado located?

Carlos Mercado practices at 624 S 1000 E Ste 103, St George, UT 84790. The listed phone number is (435) 652-1135.

What is Carlos Mercado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Carlos Mercado enrolled in Medicare?

Yes. Carlos Mercado 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 Carlos Mercado accept?

Health plans from Ambetter from Arizona Complete Health, Molina Healthcare, Select Health and University of Utah Health Plans list Carlos Mercado 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 Carlos Mercado affiliated with any hospitals?

According to CMS data, Carlos Mercado is affiliated with Mesa View Regional Hospital, Grover C Dils Medical Center, Cedar City Hospital, St. George Regional Hospital and Garfield Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Mercado was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.