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

ALEX MERLO MD
NPI 1710365358
Emergency Medicine in Pittsfield, IL

Active since May 15, 2015PECOS EnrolledAccepts Medicare Assignment
640 W WASHINGTON ST, PITTSFIELD, IL 62363(217) 285-2113(217) 285-5126 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Sep 14, 2026, Dec 3, 2021 and 2 more (5 updates tracked since 2017).

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

NPI1710365358
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameALEX MERLOCredential: MD
Location Address640 W WASHINGTON STPittsfield, IL 62363-1350
Mailing Address1005 Broadway StQuincy, IL 62301-2834 · (217) 223-8400 · Fax (217) 277-3960
Fax(217) 285-5126
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015
Enumeration DateMay 15, 2015
Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1710365358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036147880
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036147880 (IL)
Also ListedSurgeryTaxonomy 208600000X · License 4301107174 (MI)
640 W WASHINGTON ST, Pittsfield, IL 62363

Secondary Practice Locations 2

Location 1135 N Oak StHinsdale, IL 60521-3860 · Phone (630) 856-8900 · Fax (630) 856-8958
Location 21454 N County Road 2050 ECarthage, IL 62321-3551 · Phone (217) 357-8500

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.

PECOS PAC ID4981919149
PECOS Enrollment IDI20190710003069
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

5

Medicare 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.

Rural Health
321 W WASHINGTON ST
Pittsfield, IL 62363
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1720086218 (Illinois)
  • 40 clinicians in this Medicare group
Critical Access
800 SCHOOL ST
Carrollton, IL 62016
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
Critical Access
238 S CONGRESS ST
Rushville, IL 62681
  • Reassigned Medicare billing, Illinois enrollment
  • 72 clinicians in this Medicare group
Family
204 CENTER ST
Augusta, IL 62311
  • Reassigned Medicare billing, Illinois enrollment
  • 78 clinicians in this Medicare group
Critical Access
1200 E TREMONT ST
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, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141315
Location640 W WashingtonPittsfield, IL 62363 · Pike County
Emergency services

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141332
Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County
Emergency services

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141333
Location238 South Congress StreetRushville, IL 62681 · Schuyler County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Surgery (Vascular Surgery)
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Emergency Medicine
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Emergency Medicine
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Nurse Practitioner
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Dietitian, Registered (Nutrition, Metabolic)
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Nurse Practitioner (Family)
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Pharmacist
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Nurse Anesthetist, Certified Registered
640 W WASHINGTON ST
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.