DR. STEPHEN JAMES MERICLE MD
NPI 1609338896
Family Medicine in Clinton, IA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Stephen Mericle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton, IA 52732
- Reassigned Medicare billing, Iowa enrollment
- 183 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, IAPhysician 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.
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.
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.
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.
Which organization bills Medicare for Stephen Mericle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Mericle reassigns Medicare benefits to Mercy Specialty Clinic (Clinton, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Mericle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Mericle accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers 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 11 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.
# Dr. Stephen James Mericle, MD · NPI 1609338896
Family Medicine physician in Clinton, Iowa. Individual provider, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1609338896 (Entity type: Individual)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD-55500 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 915 13TH AVE N, Clinton, IA 52732-5067
- **Phone:** (563) 243-2511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Specialty Clinic (NPI 1275197998, Clinton, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609338896) · Data from the CMS NPPES public registry.