WILSON C MERTENS M.D.
NPI 1427016484
Internal Medicine - Medical Oncology in Springfield, MA

Q: What is Wilson Mertens's NPI number?

The NPI number for Wilson Mertens is 1427016484. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Wilson Mertens's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Wilson Mertens was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

3350 MAIN ST, SPRINGFIELD, MA 01107(413) 794-9338(413) 794-9754 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wilson C Mertens M.d. NPPES

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

WILSON C MERTENS M.D. (NPI 1427016484) is an individual medical oncology provider in Springfield, Massachusetts, licensed in Massachusetts (203709) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baystate Noble Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1427016484

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameWILSON C MERTENSCredential: M.D.

Location Address3350 MAIN STSpringfield, MA 01107-1112

Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700

Phone(413) 794-9338

Fax(413) 794-9754

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateMay 1, 2006

Last NPPES UpdateNovember 14, 2016

✔ NPI 1427016484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in MA · 203709

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 203709 (MA)

3350 MAIN ST, Springfield, MA 01107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Wilson C Mertens 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 ID5193792992

PECOS Enrollment IDI20040913000103

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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

68 services68 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.

67 services46 patients

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.

37 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220065

Location115 West Silver StreetWestfield, MA 01085 · Hampden County

Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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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.

MS. GINA MARIE GHIRARDI RD, LDN

Dietitian, Registered