DR. ANDREW MERRITT M.D.
NPI 1760455174
Physical Medicine & Rehabilitation in Laguna Hills, CA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
68.86/100
CMS Quality Rating
23422 MILL CREEK DR, SUITE 220, LAGUNA HILLS, CA 92653(949) 900-1300(949) 900-1318 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew Merritt M.d. NPPES

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

DR. ANDREW MERRITT M.D. (NPI 1760455174) is an individual physical medicine & rehabilitation provider in Laguna Hills, California, licensed in California (A65482) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1996).

NPPES Registry Identity

NPI1760455174
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. ANDREW MERRITTCredential: M.D.
Location Address23422 MILL CREEK DR, SUITE 220Laguna Hills, CA 92653-1688
Mailing Address23422 Mill Creek Dr, Suite 220Laguna Hills, CA 92653-1688 · (949) 900-1300 · Fax (949) 900-1318
Fax(949) 900-1318
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 1996
Enumeration DateFebruary 8, 2006
Last NPPES UpdateFebruary 5, 2010
NPI 1760455174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CA · A65482
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
23422 MILL CREEK DR, Laguna Hills, CA 92653

Other Identifiers 2

Medicare UPINH20339CA
Medicare ID-Type UnspecifiedWA65482CCA

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. Andrew Merritt 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 ID1153375043
PECOS Enrollment IDI20050303000251
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 22

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
1,050 services154 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
953 services165 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
133 services60 patients
Complete ultrasound scan of joint 76881
A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
59 services35 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
48 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services34 patients

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.

68.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality46.65
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Advance Care Plan
0%180 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
61%145 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
34%1,775 patients1/55-star benchmark: 100%
e-Prescribing
97%484 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%177 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
4%197 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
2%1,775 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 175 patients
0%175 patients
Provide Patients Electronic Access to Their Health Information
57%292 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 178 patients
Patients totalRate: 9% · 180 patients
7%180 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
23422 MILL CREEK DR, SUITE 220
LAGUNA HILLS, CA 92653
Clinic/Center (Physical Therapy)
23422 MILL CREEK DR, # 220
LAGUNA HILLS, CA 92653

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 Andrew Merritt's NPI number?

The NPI number for Andrew Merritt is 1760455174. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Andrew Merritt located?

Andrew Merritt practices at 23422 Mill Creek Dr Suite 220, Laguna Hills, CA 92653. The listed phone number is (949) 900-1300.

What is Andrew Merritt's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Andrew Merritt enrolled in Medicare?

Yes. Andrew Merritt 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.

When was this NPI record last updated?

The NPPES record for Andrew Merritt was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.