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DALE L MERRILL MD
NPI 1396732749
Internal Medicine - Cardiovascular Disease in Fresno, CA

Active since September 30, 2005PECOS Enrolled
85.78/100
CMS Quality Rating
1313 E HERNDON AVE, STE 203, FRESNO, CA 93720(559) 439-6808(559) 439-9335 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dale L Merrill Md NPPES

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

DALE L MERRILL MD (NPI 1396732749) is an individual cardiovascular disease provider in Fresno, California, licensed in California (G27416) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396732749
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDALE L MERRILLCredential: MD
Location Address1313 E HERNDON AVE, STE 203Fresno, CA 93720-3306
Mailing Address1313 E Herndon Ave, Ste 203Fresno, CA 93720-3306 · (559) 439-6808 · Fax (559) 439-9335
Phone(559) 439-6808
Fax(559) 439-9335
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateMarch 19, 2008
✔ NPI 1396732749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · G27416
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.
1313 E HERNDON AVE, Fresno, CA 93720
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA43346
Medicare PIN00G274162CA
Medicaid00G274160CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dale L Merrill Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dale Merrill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Associates-The Heart Group Medical Clinic Inc
Same address
Specialist
1313 E HERNDON AVE, STE 203
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1881637130 (559) 439-6808
Saint Agnes Medical Center
0.2 mi
General Acute Care Hospital
1303 E HERNDON AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 181 clinicians in this Medicare group
NPI 1205845567 (559) 450-3000
Clovis Community Medical Center
5.8 mi
General Acute Care Hospital
2755 HERNDON AVE
Clovis, CA 93611
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Fresno Community Hospital And Medical Center
  • 122 clinicians in this Medicare group
NPI 1235303306 (559) 459-1672

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%279 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,415 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%679 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
87%317 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%260 patients1/55-star benchmark: 100%
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…
100%493 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 212 patients
Patients tobacco: 100% · 212 patients
100%212 patients5/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%326 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
58%260 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%260 patients1/55-star benchmark: 79%
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.

Other Providers at the Same Location NPPES 20

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

DR. AMY ELIZABETH SCHUERMAN-GEN M.D.
Internal Medicine (Nephrology)
1313 E HERNDON AVE, SUITE 106
FRESNO, CA 93720
Fresno County (559) 320-0701
PARISHAD YAKHCHALIAN MD
Hospitalist
1313 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
VALLEY NEPHROLOGY MEDICAL GROUP
Internal Medicine (Nephrology)
1313 E HERNDON AVE, SUITE 105
FRESNO, CA 93720
Fresno County (559) 448-8481
EDITH RAMOS
Physician Assistant
1313 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 439-6808
CALIFORNIA NEPHROLOGY CONSULTANTS
Internal Medicine (Nephrology)
1313 E HERNDON AVE, SUITE 106
FRESNO, CA 93720
Fresno County (559) 320-0701
KIRANDEEP KAUR BATTH M.D.
Internal Medicine
1313 E HERNDON AVE, SUITE 103
FRESNO, CA 93720
Fresno County (559) 431-8081
DR. CAMILLE K CHOW MD
Student in an Organized Health Care Education/Training Program
1313 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-5375
SHAUKAT ALI M.D.
Internal Medicine (Interventional Cardiology)
1313 E HERNDON AVE, SUITE 203
FRESNO, CA 93720
Fresno County (559) 439-6808

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 Dale Merrill's NPI number?

The NPI number for Dale Merrill is 1396732749. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Dale Merrill located?

Dale Merrill practices at 1313 E Herndon Ave Ste 203, Fresno, CA 93720. The listed phone number is (559) 439-6808.

What is Dale Merrill's specialty?

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

Is Dale Merrill enrolled in Medicare?

Yes. Dale Merrill is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dale Merrill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dale Merrill reassigns Medicare benefits to 3 organizations: Cardiovascular Associates-The Heart Group Medical Clinic Inc (Fresno, CA), Saint Agnes Medical Center (Fresno, CA) and Clovis Community Medical Center (Clovis, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dale Merrill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dale Merrill was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.