DR. STEPHEN JAMES MERICLE MD
NPI 1609338896
Family Medicine in Clinton, IA

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
41/100
CMS Quality Rating
915 13TH AVE N, CLINTON, IA 52732(563) 243-2511 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Aug 15, 2022, Jul 18, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Stephen James Mericle Md NPPES

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

DR. STEPHEN JAMES MERICLE MD (NPI 1609338896) is an individual family medicine provider in Clinton, Iowa, licensed in Iowa (MD-55500) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mercyone Clinton Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609338896
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN JAMES MERICLECredential: MD
Location Address915 13TH AVE NClinton, IA 52732-5067
Mailing Address915 13th Ave NClinton, IA 52732-5067 · (563) 243-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 5, 2019
Last NPPES UpdateNovember 14, 20254 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1609338896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · MD-55500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
915 13TH AVE N, Clinton, IA 52732

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

Dr. Stephen James Mericle 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 ID4688058324
PECOS Enrollment IDI20251013000291
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.

Hospital Affiliations CMS Care Compare

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

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160080
Location1410 North 4th StreetClinton, IA 52732 · Clinton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52732 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.67
Improvement Activities20
Cost71.93

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 (Women's Health)
915 13TH AVE N
CLINTON, IA 52732
Internal Medicine
915 13TH AVE N
CLINTON, IA 52732
Family Medicine
915 13TH AVE N
CLINTON, IA 52732
Nurse Practitioner (Family)
915 13TH AVE N
CLINTON, IA 52732
Pharmacist
915 13TH AVE N
CLINTON, IA 52732
Dietitian, Registered
915 13TH AVE N
CLINTON, IA 52732
Family Medicine
915 13TH AVE N
CLINTON, IA 52732
Physician Assistant
915 13TH AVE N
CLINTON, IA 52732

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 Stephen Mericle's NPI number?

The NPI number for Stephen Mericle is 1609338896. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Stephen Mericle located?

Stephen Mericle practices at 915 13th Ave N, Clinton, IA 52732. The listed phone number is (563) 243-2511.

What is Stephen Mericle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Mericle enrolled in Medicare?

Yes. Stephen Mericle 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 Stephen Mericle accept?

Health plans from Medica and Oscar Insurance Company list Stephen Mericle 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 Stephen Mericle affiliated with any hospitals?

According to CMS data, Stephen Mericle is affiliated with Mercyone Clinton Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Mericle was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.