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DR. THOMAS JOSEF MERKLE M.D.
NPI 1770786394
Hospitalist in Baltimore, MD

Active since June 10, 2007PECOS EnrolledAccepts Medicare Assignment
87.55/100
CMS Quality Rating
2200 KERNAN DR, BALTIMORE, MD 21207(410) 448-6834(410) 448-6482 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2021, Aug 24, 2020 (2 updates tracked since 2020).

About Dr. Thomas Josef Merkle M.d. NPPES

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

DR. THOMAS JOSEF MERKLE M.D. (NPI 1770786394) is an individual hospitalist provider in Baltimore, Maryland, licensed in Maryland (D70452) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of University Of Maryland School Of Medicine (2007).

NPPES Registry Identity

NPI1770786394
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. THOMAS JOSEF MERKLECredential: M.D.
Location Address2200 KERNAN DRBaltimore, MD 21207-6665
Mailing Address2200 Kernan DrBaltimore, MD 21207-6665 · (410) 448-6834 · Fax (410) 448-6482
Phone(410) 448-6834
Fax(410) 448-6482
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2007
Enumeration DateJune 10, 2007
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1770786394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MD · D70452
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License D70452 (MD)
2200 KERNAN DR, Baltimore, MD 21207
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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 Josef Merkle 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 ID6709919160
PECOS Enrollment IDI20100805000380
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 7

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.
248 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
165 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210049
Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County
Emergency services Birthing friendly

Umd Rehabilitation & Orthopaedic Institute

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210058
Location2200 Kernan DriveBaltimore, MD 21207 · Baltimore County

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21207 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

87.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.5
Improvement Activities40
Cost87.64

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.

KIMBERLY ANN CARDOSA
Physical Therapist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6323
MRS. CECILIA MAHLE MS, OTR/L CBIS
Occupational Therapist
2200 KERNAN DR
GWYNN OAK, MD 21207
Baltimore City (410) 448-6302
UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, PA
Orthopaedic Surgery
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6400
EARLE MILTON SCHULZ D.D.S.
Dentist (Pediatric Dentistry)
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6290
MS. BARBARA B BRUNK PA-C
Physician Assistant (Surgical)
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6719
MS. AMBER MICHELLE WEATHERS MS, OTR/L
Occupational Therapist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-2500
KATHLEEN LORETTA EGLSEDER
Occupational Therapist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6323
UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
Specialist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 328-6897

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 Merkle's NPI number?

The NPI number for Thomas Merkle is 1770786394. It was assigned to this individual provider in the NPPES registry on June 10, 2007.

Where is Thomas Merkle located?

Thomas Merkle practices at 2200 Kernan Dr, Baltimore, MD 21207. The listed phone number is (410) 448-6834.

What is Thomas Merkle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Thomas Merkle enrolled in Medicare?

Yes. Thomas Merkle 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.

Is Thomas Merkle affiliated with any hospitals?

According to CMS data, Thomas Merkle is affiliated with University Of Maryland Medical Center, Umd Upper Chesapeake Medical Center, Umd Rehabilitation & Orthopaedic Institute and University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Merkle was last updated on August 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.