MELCHOR MERCADO M.D.
NPI 1750374104
Psychiatry & Neurology - Psychiatry in Modesto, CA

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
1501 CLAUS RD, MODESTO, CA 95355(419) 783-7880 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melchor Mercado M.d. NPPES

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

MELCHOR MERCADO M.D. (NPI 1750374104) is an individual psychiatry provider in Modesto, California, licensed in California (C53189) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Defiance Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1750374104
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMELCHOR MERCADOCredential: M.D.
Location Address1501 CLAUS RDModesto, CA 95355
Mailing AddressP.o. Box 576649Modesto, CA 95357-6649 · (209) 571-8330 · Fax (209) 491-7184
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 31, 2005
Last NPPES UpdateNovember 3, 2023
NPI 1750374104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · C53189
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologistTaxonomy 103T00000X · License 35071066 (OH)
1501 CLAUS RD, Modesto, CA 95355

Other Identifiers 3

Other260044712Railroad
Other000000142657OH · Anthem
Medicaid2018391OH

Accepted 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

Melchor Mercado 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 ID4486604329
PECOS Enrollment IDI20050127000800
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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361328
Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

Psychiatry & Neurology (Psychiatry)
1501 CLAUS RD, DBHC
MODESTO, CA 95355
Psychiatry & Neurology (Psychiatry)
1501 CLAUS RD
MODESTO, CA 95355
Counselor (Professional)
1501 CLAUS RD
MODESTO, CA 95355
Technician
1501 CLAUS RD
MODESTO, CA 95355
Technician, Other
1501 CLAUS RD
MODESTO, CA 95355
Counselor (Addiction (Substance Use Disorder))
1501 CLAUS RD
MODESTO, CA 95355
Counselor (Addiction (Substance Use Disorder))
1501 CLAUS RD
MODESTO, CA 95355
Psychiatry & Neurology (Psychiatry)
1501 CLAUS RD
MODESTO, CA 95355

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 Melchor Mercado's NPI number?

The NPI number for Melchor Mercado is 1750374104. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Melchor Mercado located?

Melchor Mercado practices at 1501 Claus Rd, Modesto, CA 95355. The listed phone number is (419) 783-7880.

What is Melchor Mercado's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Melchor Mercado enrolled in Medicare?

Yes. Melchor Mercado 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 Melchor Mercado accept?

Health plans from Blue Care Network of Michigan, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Melchor Mercado 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 Melchor Mercado affiliated with any hospitals?

According to CMS data, Melchor Mercado is affiliated with Mercy Health - Defiance Hospital and Promedica Defiance Regional Hospital.

When was this NPI record last updated?

The NPPES record for Melchor Mercado was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.