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REID MERGLER MD
NPI 1558820654
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3535 MARKET ST FL 2, PHILADELPHIA, PA 19104(215) 746-6701(215) 756-7350 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2020, Mar 18, 2019 (2 updates tracked since 2019).

About Reid Mergler Md NPPES

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

REID MERGLER MD (NPI 1558820654) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481269) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2019).

NPPES Registry Identity

NPI1558820654
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameREID MERGLERCredential: MD
Location Address3535 MARKET ST FL 2Philadelphia, PA 19104-3317
Mailing Address3535 Market St Fl 2Philadelphia, PA 19104-3317 · (215) 746-6701 · Fax (215) 756-7350
Phone(215) 746-6701
Fax(215) 756-7350
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1558820654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD481269
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3535 MARKET ST FL 2, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Reid Mergler Md 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 ID5698143493
PECOS Enrollment IDI20230630001148
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 4

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 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.
109 services30 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
84 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services23 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

COURTNEY SAW M.D.
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2, SECOND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
LINDSEY BRIER MD, PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
KATHRYN SOUDER LCSW
Social Worker (Clinical)
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
ELIZABETH DUTHINH MD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
ZOE BUCKWALTER
Social Worker (Clinical)
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
DR. ERIKA FIELDMAN SIMS M.D.
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (248) 227-6682
ELIZABETH ANN FLOOK MD PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222
LARA MARIE BOYLE MD, PHD
Student in an Organized Health Care Education/Training Program
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7222

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 Reid Mergler's NPI number?

The NPI number for Reid Mergler is 1558820654. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Reid Mergler located?

Reid Mergler practices at 3535 Market St Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 746-6701.

What is Reid Mergler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Reid Mergler enrolled in Medicare?

Yes. Reid Mergler 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 Reid Mergler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Reid Mergler 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 Reid Mergler affiliated with any hospitals?

According to CMS data, Reid Mergler is affiliated with Hospital Of Univ Of Pennsylvania and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Reid Mergler was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.