DR. ERICH MERTENSMEYER D.O.
NPI 1396861498
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Springfield, MO

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
1229 E SEMINOLE ST, STE 520, SPRINGFIELD, MO 65804(417) 820-5750(417) 820-5066 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Erich Mertensmeyer D.o. NPPES

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

DR. ERICH MERTENSMEYER D.O. (NPI 1396861498) is an individual otolaryngology/facial plastic surgery provider in Springfield, Missouri, licensed in Missouri (2003013945) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2002).

NPPES Registry Identity

NPI1396861498
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. ERICH MERTENSMEYERCredential: D.O.
Location Address1229 E SEMINOLE ST, STE 520Springfield, MO 65804-2227
Mailing Address1229 E Seminole StSpringfield, MO 65804-2227 · (417) 829-5750
Fax(417) 820-5066
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2002
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 25, 2019
✔ NPI 1396861498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MO · 2003013945
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 2003013945 (MO)
1229 E SEMINOLE ST, Springfield, MO 65804

Other Identifiers 4

Other431560263MO · Tricare
Medicaid191683003AR
OtherP01036353MO · Rr Mcr
Medicaid1396861498MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Erich Mertensmeyer D.o. 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 ID8022082601
PECOS Enrollment IDI20040820000079
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

2

Medicare enrollment records show Erich Mertensmeyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
Emergency Medicine
3125 DR RUSSELL SMITH WAY
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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 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.
178 services178 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.
120 services82 patients
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.
15 services15 patients

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.

Audiologist
1229 E SEMINOLE ST, SUITE 530
SPRINGFIELD, MO 65804
Specialist/Technologist (Athletic Trainer)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Orthopaedic Surgery (Hand Surgery)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Orthopaedic Surgery (Hand Surgery)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Physician Assistant (Surgical)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Nurse Practitioner
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Plastic Surgery
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Physician Assistant
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804

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 Erich Mertensmeyer's NPI number?

The NPI number for Erich Mertensmeyer is 1396861498. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Erich Mertensmeyer located?

Erich Mertensmeyer practices at 1229 E Seminole St Ste 520, Springfield, MO 65804. The listed phone number is (417) 820-5750.

What is Erich Mertensmeyer's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Erich Mertensmeyer enrolled in Medicare?

Yes. Erich Mertensmeyer 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.

Which organizations bill Medicare for Erich Mertensmeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erich Mertensmeyer reassigns Medicare benefits to 2 organizations: Mercy Clinic Springfield Communities (Springfield, MO) and Mercy Clinic Joplin LLC (Carthage, MO). 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 Erich Mertensmeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erich Mertensmeyer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 5 other insurers list Erich Mertensmeyer 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.

When was this NPI record last updated?

The NPPES record for Erich Mertensmeyer was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.