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SHAWN MERCER MD
NPI 1689150138
Internal Medicine in Canal Fulton, OH

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment
7055 HIGH MILL AVE NW, CANAL FULTON, OH 44614(330) 958-3303 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Jul 18, 2018 (2 updates tracked since 2018).

About Shawn Mercer Md NPPES

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

SHAWN MERCER MD (NPI 1689150138) is an individual internal medicine provider in Canal Fulton, Ohio, licensed in Ohio (35.145303) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1689150138
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAWN MERCERCredential: MD
Location Address7055 HIGH MILL AVE NWCanal Fulton, OH 44614-9344
Mailing Address768 Premiera DrTallmadge, OH 44278-1181 · (330) 958-3303
Phone(330) 958-3303
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2018
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1689150138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.145303
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7055 HIGH MILL AVE NW, Canal Fulton, OH 44614
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Secondary Practice Location 1

Location 1500 Gypsy LnYoungstown, OH 44504-1315 · Phone (330) 884-3573

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Shawn Mercer 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 ID2365826708
PECOS Enrollment IDI20220901003299
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.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
896 services330 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
532 services465 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
395 services378 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
163 services123 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
96 services79 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
82 services72 patients

Hospital Affiliations CMS Care Compare 3

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

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44614 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

PAVILION AT CANAL FULTON, LLC
Skilled Nursing Facility
7055 HIGH MILL AVE NW
CANAL FULTON, OH 44614
Stark County (330) 854-4545
GASLITE VILLA CONVALESCENT CENTER, INC.
Skilled Nursing Facility
7055 HIGH MILL AVE NW
CANAL FULTON, OH 44614
Stark County (330) 854-4545
MRS. CHRISTIE L HEINER M.S. CCC-SLP
Speech-Language Pathologist
7055 HIGH MILL AVE NW
CANAL FULTON, OH 44614
Stark County (330) 854-4545

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 Shawn Mercer's NPI number?

The NPI number for Shawn Mercer is 1689150138. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Shawn Mercer located?

Shawn Mercer practices at 7055 High Mill Ave NW, Canal Fulton, OH 44614. The listed phone number is (330) 958-3303.

What is Shawn Mercer's specialty?

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

Is Shawn Mercer enrolled in Medicare?

Yes. Shawn Mercer 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 Shawn Mercer accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Shawn Mercer 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 Shawn Mercer affiliated with any hospitals?

According to CMS data, Shawn Mercer is affiliated with Blanchard Valley Hospital, Bellevue Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Shawn Mercer was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.