ROBERT K. MERCHANT MD
NPI 1487754057
Internal Medicine - Pulmonary Disease in Billings, MT

Active since September 24, 2006PECOS Enrolled
94.3/100
CMS Quality Rating
801 N 29TH ST, BILLINGS, MT 59101(406) 238-2500 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert K. Merchant Md NPPES

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

ROBERT K. MERCHANT MD (NPI 1487754057) is an individual pulmonary disease provider in Billings, Montana, licensed in Montana (6892) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487754057
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameROBERT K. MERCHANTCredential: MD
Location Address801 N 29TH STBillings, MT 59101-0905
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
NPI 1487754057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MT · 6892
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
801 N 29TH ST, Billings, MT 59101

Other Identifiers 3

Other0011407MT · Mdcd Pin
Other000001761MT · Bcbs Pin
Other105123700WY · Mdcd Pin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert K. Merchant 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers31 claims31 services$39.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers29 claims29 services$93.39 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers31 claims61 services$39.19 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers12 claims56 services$17.43 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers21 claims21 services$57.86 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
12 suppliers38 claims38 services$19.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Obstetrics & Gynecology (Gynecologic Oncology)
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant
801 N 29TH ST
BILLINGS, MT 59101
Occupational Therapist
801 N 29TH ST
BILLINGS, MT 59101
Ophthalmology
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Family Medicine
801 N 29TH ST
BILLINGS, MT 59101

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 Robert Merchant's NPI number?

The NPI number for Robert Merchant is 1487754057. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Robert Merchant located?

Robert Merchant practices at 801 N 29th St, Billings, MT 59101. The listed phone number is (406) 238-2500.

What is Robert Merchant's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Robert Merchant enrolled in Medicare?

Yes. Robert Merchant is registered in the Medicare PECOS enrollment system.

What insurance does Robert Merchant accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Robert Merchant 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 Robert Merchant was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.