JEFFREY R MERRILL MD
NPI 1669438784
Family Medicine in Johnson City, TN

Q: What is Jeffrey Merrill's NPI number?

The NPI number for Jeffrey Merrill is 1669438784. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Jeffrey Merrill's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Merrill was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 26, 2006PECOS Enrolled

1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604(423) 915-5000(423) 915-5045 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffrey R Merrill Md NPPES

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

JEFFREY R MERRILL MD (NPI 1669438784) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (MD30902) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669438784

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFREY R MERRILLCredential: MD

Location Address1019 W OAKLAND AVE, SUITE 1Johnson City, TN 37604-2357

Mailing AddressPo Box 3700Johnson City, TN 37602-3700 · (423) 952-2122 · Fax (423) 952-2145

Phone(423) 915-5000

Fax(423) 915-5045

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateJune 22, 2015

✔ NPI 1669438784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · MD30902

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.

1019 W OAKLAND AVE, Johnson City, TN 37604

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Other Identifiers 6

Medicaid1669438784VA

Medicaid3858149TN

Medicare UPINC09112VA

Medicare PINVV3947AVA

Medicare UPIN3709285TN

Medicare PIN3858141TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey R Merrill Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier11 claims11 services$39.79 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 10

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Clinic/Center (Urgent Care)