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DR. EDMOND MERTZENICH DPM
NPI 1558344598
Podiatrist in Rockford, IL

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1485 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Edmond Mertzenich Dpm NPPES

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

DR. EDMOND MERTZENICH DPM (NPI 1558344598) is an individual podiatrist in Rockford, Illinois, licensed in Illinois (016003825) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1985).

NPPES Registry Identity

NPI1558344598
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. EDMOND MERTZENICHCredential: DPM
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W. State St, Crusader Community HealthRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1485
Phone(815) 490-1600
Fax(815) 490-1485
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1985
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 30, 2012
✔ NPI 1558344598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016003825
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1200 W STATE ST, Rockford, IL 61102
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Other Names 1

Professional Name (2)Dr. Edmond Mertzenich Dpm

Other Identifiers 3

Medicare UPINT38530IL
Medicare ID-Type Unspecified752491IL · Medicare
Medicaid016003825IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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. Edmond Mertzenich Dpm 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 ID840229811
PECOS Enrollment IDI20050810000245
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 61102 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

CARYN ANN RUZIC APRN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. ADEKOLA ABIOUDUN ASHAYE MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. GARY PATRICK FERNANDO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CRISTINA DIVENTI LSW
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CORNITA CANNON M.D.
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
LAURA PEREZ CNM, APRN
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
KERIN CUMMINS APN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600

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 Edmond Mertzenich's NPI number?

The NPI number for Edmond Mertzenich is 1558344598. It was assigned to this individual provider in the NPPES registry on November 23, 2005. The provider is also known as Dr. Edmond Mertzenich Dpm.

Where is Edmond Mertzenich located?

Edmond Mertzenich practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Edmond Mertzenich's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Edmond Mertzenich enrolled in Medicare?

Yes. Edmond Mertzenich 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 Edmond Mertzenich accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and MercyCare Health Plans list Edmond Mertzenich 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 Edmond Mertzenich was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.