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HEATHER MERTZ MD
NPI 1477533115
Obstetrics & Gynecology - Maternal & Fetal Medicine in Morgantown, WV

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(855) 988-2273 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2022, Jan 20, 2021, Jan 6, 2021 and 41 more (44 updates tracked since 2017).

About Heather Mertz Md NPPES

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

HEATHER MERTZ MD (NPI 1477533115) is an individual maternal & fetal medicine provider in Morgantown, West Virginia, licensed in West Virginia (19749) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of West Virginia University School Of Medicine (1995).

NPPES Registry Identity

NPI1477533115
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameHEATHER MERTZCredential: MD
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (855) 988-2273
Phone(855) 988-2273
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1995
Enumeration DateJanuary 19, 2006
Last NPPES UpdateDecember 8, 202244 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1477533115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in WV · 19749✔ Licensed in NC · 9900608
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
1 MEDICAL CENTER DR, Morgantown, WV 26506
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1200 Medical Park Dr, Ste 250Concord, NC 28025-2982 · Phone (704) 403-4189
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1544
Location 310660 Park Rd, Ste 4300Charlotte, NC 28210-8413 · Phone (704) 355-5670
Location 41025 Morehead Medical Dr, Ste 500, 5th FloorCharlotte, NC 28204-2963 · Phone (704) 355-3149

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, CareSource and more.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

Heather Mertz 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 ID9537109913
PECOS Enrollment IDI20050920000588
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

5

Medicare enrollment records show Heather Mertz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation
Same address
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800
Carolinas Physicians Network Inc
237 mi
Cardiovascular Disease
200 HOSPITAL AVE, SUITE 200
Jefferson, NC 28640
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1871817403 (336) 846-8334
Mertz Mfm Center
248 mi
Maternal & Fetal Medicine
3815 FORRESTGATE DR
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1912577628 (336) 480-4173
The Charlotte-Mecklenburg Hospital Authority
277 mi
Orthopaedic Surgery
340 JAKE ALEXANDER BLVD W, STE 101
Salisbury, NC 28147
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1043719610 (704) 403-4900
Carolinas Medical Center
293 mi
Pediatrics
100 MEDICAL PARK DR, STE 310
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1922343987 (704) 403-2660

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 26506 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

MIKE LEE MD, MS, BS
Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4051
ERIC ALLEN
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
ISLAM YOUNES
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
TERESA SOLIMANDO FNP-C
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-1111
RODRIGO GABRIEL BEJARANO CASTRO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-6127
MOLLIE SIMONTON
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
CHEYENNE BARR FNP-BC
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
MARLEAH SCHLICK
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4148

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 Heather Mertz's NPI number?

The NPI number for Heather Mertz is 1477533115. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Heather Mertz located?

Heather Mertz practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (855) 988-2273.

What is Heather Mertz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Heather Mertz enrolled in Medicare?

Yes. Heather Mertz 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 Heather Mertz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mertz reassigns Medicare benefits to 5 organizations: West Virginia University Medical Corporation (Morgantown, WV), Carolinas Physicians Network Inc (Jefferson, NC), Mertz Mfm Center (Winston Salem, NC), The Charlotte-Mecklenburg Hospital Authority (Salisbury, NC) and Carolinas Medical Center (Concord, NC). 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 Heather Mertz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Mertz accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, CareSource, Molina Healthcare and UnitedHealthcare list Heather Mertz 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 Heather Mertz was last updated on December 8, 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.