TODD DAVID MERCHEN M.D.
NPI 1730135252
Transplant Surgery in Greenville, SC

Q: What is Todd Merchen's NPI number?

The NPI number for Todd Merchen is 1730135252. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Todd Merchen's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Merchen was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 26, 2006PECOS EnrolledAccepts Medicare Assignment

200 PATEWOOD DR STE C300, GREENVILLE, SC 29615(864) 454-8272(864) 454-2875 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Todd David Merchen M.d. NPPES

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

TODD DAVID MERCHEN M.D. (NPI 1730135252) is an individual transplant surgery provider in Greenville, South Carolina, licensed in South Carolina (85586) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and is a graduate of Mercer University School Of Medicine (1997).

NPPES Registry Identity

NPI1730135252

Entity TypeIndividualMale

Primary Taxonomy204F00000X

Provider Legal NameTODD DAVID MERCHENCredential: M.D.

Location Address200 PATEWOOD DR STE C300Greenville, SC 29615-6324

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 454-8272

Fax(864) 454-2875

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 1997

Enumeration DateMay 26, 2006

Last NPPES UpdateMay 25, 2021

NPPES CertifiedMay 25, 2021

✔ NPI 1730135252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204F00000X

Licenses✔ Licensed in SC · 85586✔ Licensed in WA · MD00044042

Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License MD00044042 (WA)

200 PATEWOOD DR STE C300, Greenville, SC 29615

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Other Identifiers 3

MedicaidG58986SC

Medicaid8402638WA

Medicaid618788011AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Todd David Merchen M.d. 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 ID2264490739

PECOS Enrollment IDI20210601001012

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

Medicare enrollment records show Todd Merchen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ghs Partners In Health, Inc.

1.4 mi

Dermatology

920 WOODRUFF RD
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Prisma Health University Medical Group
3,281 clinicians in this Medicare group

NPI 1235446337 (864) 233-6338

Prisma Health Medical Group-Midlands

85 mi

Interventional Cardiology

300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212

Reassigned Medicare billing, South Carolina enrollment
1,466 clinicians in this Medicare group

NPI 1003307166 (803) 765-0871

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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

68 services25 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340017

Location800 N Justice StHendersonville, NC 28791 · Henderson County

Emergency services Birthing friendly

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420033

Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County

Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers30 claims5,225 services$0.29 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers13 claims3,000 services$0.17 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers17 claims1,860 services$0.77 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers23 claims23 services$14.13 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

5 suppliers36 claims63 services$10.88 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 20

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

KATHERINE LINDSAY MORGAN FNP-C

Nurse Practitioner (Family)