ALEX MERLO MD
NPI 1710365358
Emergency Medicine in Pittsfield, IL
About Alex Merlo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEX MERLO MD (NPI 1710365358) is an individual emergency medicine provider in Pittsfield, Illinois, licensed in Illinois (036147880) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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
Alex Merlo 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 Reassignments
5Medicare enrollment records show Alex Merlo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittsfield, IL 62363
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1720086218 (Illinois)
- 40 clinicians in this Medicare group
Carrollton, IL 62016
- Reassigned Medicare billing, Illinois enrollment
- 22 clinicians in this Medicare group
Rushville, IL 62681
- Reassigned Medicare billing, Illinois enrollment
- 72 clinicians in this Medicare group
Augusta, IL 62311
- Reassigned Medicare billing, Illinois enrollment
- 78 clinicians in this Medicare group
Hillsboro, IL 62049
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1821078213 (Illinois)
- 59 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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital
Critical Access Hospitals · Carthage, ILIllini Community Hospital
Critical Access Hospitals · Pittsfield, ILHillsboro Area Hospital
Critical Access Hospitals · Hillsboro, ILSarah D Culbertson Memorial Hospital
Critical Access Hospitals · Rushville, ILFayette County Hospital
Critical Access Hospitals · Vandalia, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62363 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PITTSFIELD, IL 62363
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 Alex Merlo's NPI number?
The NPI number for Alex Merlo is 1710365358. It was assigned to this individual provider in the NPPES registry on May 15, 2015.
Where is Alex Merlo located?
Alex Merlo practices at 640 W Washington St, Pittsfield, IL 62363. The listed phone number is (217) 285-2113.
What is Alex Merlo's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Alex Merlo enrolled in Medicare?
Yes. Alex Merlo 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 Alex Merlo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alex Merlo reassigns Medicare benefits to 5 organizations: Blessingcare Corporation (Pittsfield, IL), Thomas H. Boyd Memorial Hospital (Carrollton, IL), Schuyler County Hospital District (Rushville, IL), Memorial Hospital Association (Augusta, IL) and Hillsboro Area Hospital, Inc. (Hillsboro, IL). 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 Alex Merlo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alex Merlo accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Alex Merlo 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 Alex Merlo affiliated with any hospitals?
According to CMS data, Alex Merlo is affiliated with Memorial Hospital, Illini Community Hospital, Hillsboro Area Hospital, Sarah D Culbertson Memorial Hospital and Fayette County Hospital.
When was this NPI record last updated?
The NPPES record for Alex Merlo was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.