MICHAEL THOMAS MERRICK M.D.
NPI 1558590976
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Tyler, TX

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment
84.7/100
CMS Quality Rating
3414 GOLDEN RD, TYLER, TX 75701(903) 939-7500 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2022, Apr 16, 2020, Jan 28, 2019 and 1 more (4 updates tracked since 2016).

About Michael Thomas Merrick M.d. NPPES

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

MICHAEL THOMAS MERRICK M.D. (NPI 1558590976) is an individual orthopaedic surgery of the spine provider in Tyler, Texas, licensed in Texas (Q2803) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of University Of Texas Medical School At Houston (2009).

NPPES Registry Identity

NPI1558590976
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameMICHAEL THOMAS MERRICKCredential: M.D.
Location Address3414 GOLDEN RDTyler, TX 75701-8336
Mailing Address3414 Golden RdTyler, TX 75701-8336 · (903) 939-7500
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2009
Enumeration DateJuly 7, 2009
Last NPPES UpdateApril 22, 20254 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1558590976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · Q2803
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License Q2803 (TX)
3414 GOLDEN RD, Tyler, TX 75701

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 and accepts Medicare assignment

Michael Thomas Merrick 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 ID3971777319
PECOS Enrollment IDI20150803000321
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 27

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
975 services135 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
282 services235 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
195 services109 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services152 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
121 services57 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
118 services73 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX
OwnershipPhysician
CMS Certification Number450864
Location1814 Roseland BoulevardTyler, TX 75701 · Smith County
Emergency services

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.

84.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Advance Care Plan
60%593 patients3/55-star benchmark: 100%
Cervical Cancer Screening
41%264 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
45%359 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
63%806 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
76%34 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
71%51 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,263 patients4/55-star benchmark: 100%
e-Prescribing
98%245 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%569 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%929 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%1,048 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 1,008 patients
Patients screened: 93% · 1,008 patients
11%81 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
76%469 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
68%266 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%84 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 607 patients
Patients totalRate: 8% · 607 patients
7%607 patients4/55-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.

Nurse Practitioner (Family)
3414 GOLDEN RD
TYLER, TX 75701
Pain Medicine (Interventional Pain Medicine)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physician Assistant (Surgical)
3414 GOLDEN RD
TYLER, TX 75701
Physical Medicine & Rehabilitation
3414 GOLDEN RD
TYLER, TX 75701

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 Michael Merrick's NPI number?

The NPI number for Michael Merrick is 1558590976. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Michael Merrick located?

Michael Merrick practices at 3414 Golden Rd, Tyler, TX 75701. The listed phone number is (903) 939-7500.

What is Michael Merrick's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Michael Merrick enrolled in Medicare?

Yes. Michael Merrick 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 Michael Merrick accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Michael Merrick 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 Michael Merrick affiliated with any hospitals?

According to CMS data, Michael Merrick is affiliated with Christus Good Shepherd Medical Center, Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for Michael Merrick was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.