DR. THOMAS J MERLE MD
NPI 1730187469
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kettering, OH

Q: What is Thomas Merle's NPI number?

The NPI number for Thomas Merle is 1730187469. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Thomas Merle's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Merle was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 July 07, 2005PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

3533 SOUTHERN BLVD, STE 5650, KETTERING, OH 45429(937) 294-3611(937) 294-9010 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2025, Jan 13, 2021, Jan 23, 2019 (3 updates tracked since 2019).

On this page

About Dr. Thomas J Merle Md NPPES

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

DR. THOMAS J MERLE MD (NPI 1730187469) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Kettering, Ohio, licensed in Ohio (35055260) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and is a graduate of Ohio State University College Of Medicine (1982).

NPPES Registry Identity

NPI1730187469

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. THOMAS J MERLECredential: MD

Location Address3533 SOUTHERN BLVD, STE 5650Kettering, OH 45429-1264

Mailing Address3533 Southern Blvd, Suite 5650Kettering, OH 45429-1264 · (937) 294-3611 · Fax (937) 294-9010

Phone(937) 294-3611

Fax(937) 294-9010

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 1982

Enumeration DateJuly 7, 2005

Last NPPES UpdateApril 1, 20253 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1730187469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in OH · 35055260

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

3533 SOUTHERN BLVD, Kettering, OH 45429

Open in Google Maps ↗

Other Identifiers 1

Medicaid0680213OH

Accepted Insurance

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

Dr. Thomas J Merle 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 ID3072418615

PECOS Enrollment IDI20040811001446

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 6

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

23 services23 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

17 services17 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.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

12 services12 patients

Replacement of aortic valve on heart-lung machine 33405

The aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360026

Location1141 North Monroe DriveXenia, OH 45385 · Greene County

Emergency services

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

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.

DR. CAROL JOANNE SAWMILLER M.D.

Surgery

3533 SOUTHERN BLVD, SUITE 2250
KETTERING, OH 45429

Montgomery County (937) 534-0330

MIAMI VALLEY UROLOGY

Specialist

3533 SOUTHERN BLVD, STE 3450
KETTERING, OH 45429

Montgomery County (937) 293-0008

DR. JALEH ESLAMI M.D.

Plastic Surgery

3533 SOUTHERN BLVD, SUITE 4300
KETTERING, OH 45429

Montgomery County (937) 395-8454

CHRISTA SIEBENBURGEN M.D.

Surgery

3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429

Montgomery County (937) 395-8556

DR. DAVID L TIBBITS M.D.

Anesthesiology

3533 SOUTHERN BLVD, STE 3400
KETTERING, OH 45429

Montgomery County (937) 293-8228

NICHOLAS A DONINGER PH.D

Clinical Neuropsychologist

3533 SOUTHERN BLVD, SUITE 5200
KETTERING, OH 45429

Montgomery County (937) 395-8043

SOUTHWEST CARDIOLOGY INC

Internal Medicine (Cardiovascular Disease)

3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429

Montgomery County (937) 293-3486

RAGAVAN NARAYANAN M.D.

Surgery (Surgical Critical Care)

3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429

Montgomery County (937) 395-8556

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 Thomas Merle's NPI number?

The NPI number for Thomas Merle is 1730187469. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Thomas Merle located?

Thomas Merle practices at 3533 Southern Blvd Ste 5650, Kettering, OH 45429. The listed phone number is (937) 294-3611.

What is Thomas Merle's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Thomas Merle enrolled in Medicare?

Yes. Thomas Merle 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 Thomas Merle accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Thomas Merle 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 Thomas Merle affiliated with any hospitals?

According to CMS data, Thomas Merle is affiliated with Kettering Health Greene Memorial, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Merle was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.