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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SCOTT RYAN MERRIMAN M.D.
NPI 1578959524
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
6949 GOOD SAMARITAN DR, CINCINNATI, OH 45247(513) 793-2654(513) 246-9899 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 24, 2026, Aug 31, 2023, Aug 3, 2021 and 1 more (4 updates tracked since 2017).

About Scott Ryan Merriman M.d. NPPES

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

SCOTT RYAN MERRIMAN M.D. (NPI 1578959524) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35.140991) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578959524
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSCOTT RYAN MERRIMANCredential: M.D.
Location Address6949 GOOD SAMARITAN DRCincinnati, OH 45247-5204
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964 · Fax (513) 852-8525
Phone(513) 793-2654
Fax(513) 246-9899
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2015
Enumeration DateApril 7, 2015
Last NPPES UpdateAugust 24, 20264 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1578959524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in OH · 35.140991✔ Licensed in WI · 82560
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 82560 (WI)
6949 GOOD SAMARITAN DR, Cincinnati, OH 45247
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19200 W WISCONSIN AVENUE, Pulmonary DiseaseMILWAUKEE, WI 53226-3522 · Phone (414) 955-7040 · Fax (414) 955-0175
Location 29200 W Wisconsin Avenue, Critical Care MedicineMilwaukee, WI 53226-3522 · Phone (414) 955-7040 · Fax (414) 955-0175

Other Identifiers 2

Medicaid2565399OH
Medicaid1578959524WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Oscar Health Insurance.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

Scott Ryan Merriman 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 ID1850603937
PECOS Enrollment IDI20230926002811
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services15 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.
20 services18 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45247 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers49 claims49 services$15.53 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier15 claims15 services$868.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers21 claims21 services$3.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers73 claims73 services$69.84 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims450 services$0.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NICOLE DOLL DO
Family Medicine
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Hamilton County (513) 931-2400
MAGGIE VINCENT RD
Dietitian, Registered
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Hamilton County (513) 862-4957
COLTON D BRIGGS DO
Family Medicine
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Hamilton County (513) 931-2400
TRIHEALTH OS, LLC
Orthopaedic Surgery (Hand Surgery)
6949 GOOD SAMARITAN DR, SUITE 230
CINCINNATI, OH 45247
Hamilton County (513) 961-4263
DR. GERALD A PALERMO MD
Internal Medicine
6949 GOOD SAMARITAN DR, SUITE 210
CINCINNATI, OH 45247
Hamilton County (513) 931-2400
TAYLOR SCHUTTE AUD
Audiologist
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Hamilton County (513) 316-6879
EMILY KRONENBERGER PA-C
Physician Assistant
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Hamilton County (513) 853-1300
MOLECULAR IMAGING OF HAMILTON
Specialist
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Hamilton County (330) 491-1490

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 Scott Merriman's NPI number?

The NPI number for Scott Merriman is 1578959524. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Scott Merriman located?

Scott Merriman practices at 6949 Good Samaritan Dr, Cincinnati, OH 45247. The listed phone number is (513) 793-2654.

What is Scott Merriman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Scott Merriman enrolled in Medicare?

Yes. Scott Merriman 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 Scott Merriman accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Oscar Health Insurance list Scott Merriman 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 Scott Merriman affiliated with any hospitals?

According to CMS data, Scott Merriman is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Scott Merriman was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.