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CLYDE EDWARD MERRILL PA-C
NPI 1497910533
Physician Assistant - Surgical in Gilbert, AZ

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234(480) 256-6444(480) 256-4734 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clyde Edward Merrill Pa-c NPPES

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

CLYDE EDWARD MERRILL PA-C (NPI 1497910533) is an individual surgical provider in Gilbert, Arizona, licensed in Arizona (5415) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497910533
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCLYDE EDWARD MERRILLCredential: PA-C
Location Address2946 E BANNER GATEWAY DRGilbert, AZ 85234-2165
Mailing Address2940 E. Banner Gateway Drive, Suite #450Gilbert, AZ 85234 · (480) 256-6444 · Fax (480) 256-4734
Phone(480) 256-6444
Fax(480) 256-4734
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 28, 2008
Last NPPES UpdateMarch 6, 2015
✔ NPI 1497910533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in AZ · 5415✔ Licensed in WV · 01203✔ Licensed in OH · 50.002444
2946 E BANNER GATEWAY DR, Gilbert, AZ 85234
Open in Google Maps ↗

Other Identifiers 7

Medicare PINH028170OH
Other01203WV · Wv License
Other000000635240OH · Anthem
Medicaid0070594OH
Medicare PIN35971WV
Other000000723364OH · Anthem
Medicare PIN31512OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Clyde Edward Merrill 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 ID4587731161
PECOS Enrollment IDI20130808000663
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 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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

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.

BRYAN Y WONG MD PHD
Internal Medicine (Medical Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. HORST UWE KLUEPPELBERG MD, PHD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR, BANNER MD ANDERSON CANCER CENTER
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MARK GIMBEL M.D.
Surgery (Surgical Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
THOMAS SHELLENBERGER MD
Surgery (Surgical Oncology)
2946 E BANNER GATEWAY DR, #450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MRS. GALE M BARR NP-C
Nurse Practitioner
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. NICOLAS DE PADOVA PHARM.D.
Pharmacist (Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-4448
NATHAN COCHRANE PA-C
Physician Assistant (Surgical)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. BRIAN JOHNSTON M.D.
Radiology (Diagnostic Radiology)
2946 E BANNER GATEWAY DR, BANNER MD ANDERSON CANCER CENTER
GILBERT, AZ 85234
Maricopa County (480) 543-6900

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 Clyde Merrill's NPI number?

The NPI number for Clyde Merrill is 1497910533. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Clyde Merrill located?

Clyde Merrill practices at 2946 E Banner Gateway Dr, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Clyde Merrill's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Clyde Merrill enrolled in Medicare?

Yes. Clyde 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 Clyde Merrill accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Clyde 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.

When was this NPI record last updated?

The NPPES record for Clyde Merrill was last updated on March 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.