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MICHAEL D MERKIN MD
NPI 1669548079
Psychiatry & Neurology - Neurology in Edison, NJ

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
34 36 PROGRESS ST, SUITE B3, EDISON, NJ 08820(908) 757-6633(908) 757-3912 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael D Merkin Md NPPES

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

MICHAEL D MERKIN MD (NPI 1669548079) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (MA04885700) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Rutgers New Jersey Medical School (1985).

NPPES Registry Identity

NPI1669548079
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMICHAEL D MERKINCredential: MD
Location Address34 36 PROGRESS ST, SUITE B3Edison, NJ 08820
Mailing Address34 36 Progress St, Suite B3Edison, NJ 08820 · (908) 757-6633 · Fax (908) 757-3912
Phone(908) 757-6633
Fax(908) 757-3912
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1985
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669548079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · MA04885700
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
34 36 PROGRESS ST, Edison, NJ 08820
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified155764CF0
Medicare UPINE13183
Medicaid2013908NJ

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

Michael D Merkin 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 ID6800920828
PECOS Enrollment IDI20110307000850
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Merkin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Group Inc
3.0 mi
Specialist
80 JAMES ST, 4TH FLOOR
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 165 clinicians in this Medicare group
NPI 1225251754 (732) 632-1571
Hmh Hospitals Corporation
3.0 mi
Family Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 164 clinicians in this Medicare group
NPI 1356016661 (732) 321-7000
Hackensack Meridian Health Medical Group - Specialty Care PC
23 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
374 services223 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
120 services120 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services48 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

EUGENE E BUCHWALD MD
Psychiatry & Neurology (Neurology)
34 36 PROGRESS ST, B3
EDISON, NJ 08820
Middlesex County (908) 757-6633
RICHARD M SCHUMAN MD
Internal Medicine (Hematology & Oncology)
34 36 PROGRESS ST, SUITE B2
EDISON, NJ 08820
Middlesex County (908) 757-9696

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 Michael Merkin's NPI number?

The NPI number for Michael Merkin is 1669548079. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Michael Merkin located?

Michael Merkin practices at 34 36 Progress St Suite B3, Edison, NJ 08820. The listed phone number is (908) 757-6633.

What is Michael Merkin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Merkin enrolled in Medicare?

Yes. Michael Merkin 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 organizations bill Medicare for Michael Merkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Merkin reassigns Medicare benefits to 3 organizations: Community Hospital Group Inc (Edison, NJ), Hmh Hospitals Corporation (Edison, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Michael Merkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Merkin affiliated with any hospitals?

According to CMS data, Michael Merkin is affiliated with Morristown Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Merkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.