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

SHAYLI MERLO
NPI 1619342854
Internal Medicine in Solvang, CA

Active since December 13, 2015Opted out of Medicare · through Dec 27, 2026
83.63/100
CMS Quality Rating
2040 VIBORG RD STE 110, SOLVANG, CA 93463(805) 688-5488(805) 688-2624 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Dec 30, 2025, Aug 17, 2022 and 3 more (6 updates tracked since 2015).

About Shayli Merlo NPPES

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

SHAYLI MERLO (NPI 1619342854) is an individual internal medicine provider in Solvang, California, licensed in California (A179245) and active in the NPI registry since December 2015. She has opted out of Medicare through December 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619342854
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAYLI MERLO
Location Address2040 VIBORG RD STE 110Solvang, CA 93463-2272
Mailing Address2030 Viborg Rd Ste 208Solvang, CA 93463-3226 · (805) 688-5488 · Fax (805) 688-2624
Fax(805) 688-2624
Sole ProprietorNo
Enumeration DateDecember 13, 2015
Last NPPES UpdateAugust 4, 20266 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1619342854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A179245
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2040 VIBORG RD STE 110, Solvang, CA 93463

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Shayli Merlo has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 27, 2024 through December 27, 2026.

Opt-Out Effective DateDecember 27, 2024
Opt-Out In Effect ThroughDecember 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 12

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.
511 services308 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
245 services174 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
231 services231 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
71 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
42 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93463 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Reported Quality Measures

Breast Cancer Screening
76%662 patients4/55-star benchmark: 93%
Cervical Cancer Screening
66%1,003 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
77%1,332 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
62%731 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%224 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,840 patients5/55-star benchmark: 100%
e-Prescribing
99%2,551 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
87%2,409 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%1,830 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 2,180 patients
Patients screened: 99% · 2,180 patients
78%127 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%1,749 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%628 patients4/55-star benchmark: 91%
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2040 VIBORG RD STE 110
SOLVANG, CA 93463
Clinic/Center
2040 VIBORG RD STE 110
SOLVANG, CA 93463

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 Shayli Merlo's NPI number?

The NPI number for Shayli Merlo is 1619342854. It was assigned to this individual provider in the NPPES registry on December 13, 2015.

Where is Shayli Merlo located?

Shayli Merlo practices at 2040 Viborg Rd Ste 110, Solvang, CA 93463. The listed phone number is (805) 688-5488.

What is Shayli Merlo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shayli Merlo enrolled in Medicare?

No. Shayli Merlo has opted out of Medicare through December 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shayli Merlo was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.