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DR. HALEY MARIE MERRILL M.D.
NPI 1497070254
Orthopaedic Surgery in Kansas City, MO

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2411 HOLMES ST, M2-302, UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM, KANSAS CITY, MO 64108(816) 471-2072(816) 404-0003 Get Directions Write a Review

NPPES record last updated: July 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Haley Marie Merrill M.d. NPPES

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

DR. HALEY MARIE MERRILL M.D. (NPI 1497070254) is an individual orthopaedic surgery provider in Kansas City, Missouri, licensed in Virginia (0101258110) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2010).

NPPES Registry Identity

NPI1497070254
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. HALEY MARIE MERRILLCredential: M.D.
Location Address2411 HOLMES ST, M2-302, UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAMKansas City, MO 64108-2741
Mailing Address2922 Telestar CtFalls Church, VA 22042-1206 · (703) 584-2040 · Fax (703) 553-8647
Phone(816) 471-2072
Fax(816) 404-0003
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2010
Enumeration DateApril 5, 2010
Last NPPES UpdateJuly 19, 2015
✔ NPI 1497070254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in VA · 0101258110
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2411 HOLMES ST, Kansas City, MO 64108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Dr. Haley Marie Merrill 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 ID9739494865
PECOS Enrollment IDI20190610001126
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 11

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.
89 services65 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
43 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 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.
36 services36 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
32 services19 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
23 services16 patients

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
96%48 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%309 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

EMMA HUTCHIN
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
BRANDON PARK
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (224) 518-5839
SARAH TOTTA
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
NITIN NADELLA
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (224) 337-2213
YUMING WU
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
KIMIA ZORAGHCHI
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
SANJANA NALLAGATLA
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
NATHAN T MARION
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-5412

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 Haley Merrill's NPI number?

The NPI number for Haley Merrill is 1497070254. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Haley Merrill located?

Haley Merrill practices at 2411 Holmes St M2-302, Umkc School Of Medicine Residency Program, Kansas City, MO 64108. The listed phone number is (816) 471-2072.

What is Haley Merrill's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Haley Merrill enrolled in Medicare?

Yes. Haley Merrill 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.

What insurance does Haley Merrill accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Haley Merrill 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.

Is Haley Merrill affiliated with any hospitals?

According to CMS data, Haley Merrill is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Haley Merrill was last updated on July 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.