DR. JAMES A MERRIAM JR. MD
NPI 1386871093
Internal Medicine - Cardiovascular Disease in Greenville, SC

Active since June 20, 2009PECOS EnrolledAccepts Medicare Assignment
2 INNOVATION DR,. STE 400, GREENVILLE, SC 29607(864) 235-7665(864) 233-5971 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James A Merriam Jr. Md NPPES

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

DR. JAMES A MERRIAM JR. MD (NPI 1386871093) is an individual cardiovascular disease provider in Greenville, South Carolina, licensed in South Carolina (31767) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Cannon Memorial Hospital, and is a graduate of University Of South Carolina School Of Medicine (2009).

NPPES Registry Identity

NPI1386871093
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JAMES A MERRIAM JR.Credential: MD
Location Address2 INNOVATION DR,. STE 400Greenville, SC 29607-5270
Mailing Address2 Innovation Dr. Ste. 400Greenville, SC 29607-5270 · (864) 234-7665 · Fax (864) 233-5971
Fax(864) 233-5971
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2009
Enumeration DateJune 20, 2009
Last NPPES UpdateFebruary 18, 2016
NPI 1386871093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SC · 31767
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL31767 (SC)
2 INNOVATION DR,. STE 400, Greenville, SC 29607

Other Identifiers 2

Medicaid317678SC
Medicare PINSC23268157SC

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

Dr. James A Merriam Jr. 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 ID4385872167
PECOS Enrollment IDI20140124001918
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 30

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.
1,649 services856 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
641 services606 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
580 services515 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
416 services36 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
288 services28 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
275 services274 patients

Hospital Affiliations CMS Care Compare 3

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

Cannon Memorial Hospital

Acute Care Hospitals · Pickens, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420011
Location123 W G Acker DrivePickens, SC 29671 · Pickens County
Emergency services

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%376 patients2/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 93% · 91 patients
94%95 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%675 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%648 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
44%276 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
2%316 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 James Merriam's NPI number?

The NPI number for James Merriam is 1386871093. It was assigned to this individual provider in the NPPES registry on June 20, 2009.

Where is James Merriam located?

James Merriam practices at 2 Innovation Dr,. Ste 400, Greenville, SC 29607. The listed phone number is (864) 235-7665.

What is James Merriam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Merriam enrolled in Medicare?

Yes. James Merriam 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 James Merriam accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list James Merriam 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 James Merriam affiliated with any hospitals?

According to CMS data, James Merriam is affiliated with Cannon Memorial Hospital, St Francis-Downtown and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Merriam was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.