LAUREN EMILY MERKLE PA-C
NPI 1437870011
Physician Assistant in Buffalo, NY

Q: What is Lauren Merkle's NPI number?

The NPI number for Lauren Merkle is 1437870011. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Q: What is Lauren Merkle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Merkle was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 12, 2022PECOS EnrolledAccepts Medicare Assignment

1001 MAIN ST FL 4, BUFFALO, NY 14203(716) 550-8361(716) 323-0585 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Lauren Emily Merkle Pa-c NPPES

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

LAUREN EMILY MERKLE PA-C (NPI 1437870011) is an individual physician assistant in Buffalo, New York, licensed in New York (028905) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1437870011

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAUREN EMILY MERKLECredential: PA-C

Location Address1001 MAIN ST FL 4Buffalo, NY 14203-1009

Mailing Address77 Goodell St Ste 240Buffalo, NY 14203-1243 · (716) 550-8361 · Fax (716) 323-0585

Phone(716) 550-8361

Fax(716) 323-0585

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 12, 2022

NPPES CertifiedSeptember 11, 2022

✔ NPI 1437870011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 028905

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1001 MAIN ST FL 4, Buffalo, NY 14203

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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

Lauren Emily Merkle Pa-c 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 ID6103294418

PECOS Enrollment IDI20221117001243

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 2

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 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.

24 services20 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.

20 services19 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330005

Location100 High StreetBuffalo, NY 14210 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

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. MONA BONANNO M.D.

Pediatrics