1. Home
  2. Directory
  3. Pennsylvania
  4. Troy
  5. Surgery
  6. NPI Profile

CHETAN MERCHANT M.D
NPI 1366855009
Surgery in Troy, PA

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
285 GUTHRIE DR, TROY, PA 16947(570) 297-4104(570) 297-2066 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chetan Merchant M.d NPPES

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

CHETAN MERCHANT M.D (NPI 1366855009) is an individual surgery provider in Troy, Pennsylvania, licensed in Pennsylvania (MD468851) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Robert Packer Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1366855009
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHETAN MERCHANTCredential: M.D
Location Address285 GUTHRIE DRTroy, PA 16947-8115
Mailing Address285 Guthrie DrTroy, PA 16947-8115 · (570) 297-4104 · Fax (570) 297-2066
Phone(570) 297-4104
Fax(570) 297-2066
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 10, 2014
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1366855009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD468851
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
285 GUTHRIE DR, Troy, PA 16947
Open in Google Maps ↗

Accepted Insurance

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

Chetan Merchant M.d 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 ID2860818127
PECOS Enrollment IDI20200817003377, I20220304000956
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
36 services36 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
33 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services28 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Troy Community Hospital

Critical Access Hospitals · Troy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391305
Location275 Guthrie DriveTroy, PA 16947 · Bradford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16947 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 9

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

DR. KARI S. WOOD MD
Family Medicine
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104
MADELYN HORN
Nurse Practitioner
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104
GUTHRIE MEDICAL GROUP, P.C.
Family Medicine
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104
JESSICA MCWHORTER FNP-BC
Nurse Practitioner (Family)
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104
DR. NAVIN KUMAR SUBRAYAPPA M.D.
Internal Medicine (Cardiovascular Disease)
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104
KRISTINE M TOFTS DO
Family Medicine
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104
COURTNEY CASE PA-C
Physician Assistant
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104
MS. CATHERINE M. BARRETT NP
Nurse Practitioner
285 GUTHRIE DR
TROY, PA 16947
Bradford County (570) 297-4104

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 Chetan Merchant's NPI number?

The NPI number for Chetan Merchant is 1366855009. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Chetan Merchant located?

Chetan Merchant practices at 285 Guthrie Dr, Troy, PA 16947. The listed phone number is (570) 297-4104.

What is Chetan Merchant's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Chetan Merchant enrolled in Medicare?

Yes. Chetan Merchant 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 Chetan Merchant accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Chetan Merchant 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 Chetan Merchant affiliated with any hospitals?

According to CMS data, Chetan Merchant is affiliated with Robert Packer Hospital and Troy Community Hospital.

When was this NPI record last updated?

The NPPES record for Chetan Merchant was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.