DR. HELEN MERRITT M.D.
NPI 1790075927
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Dallas, TX

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8230 WALNUT HILL LN STE 508, DALLAS, TX 75231(214) 369-0555(214) 369-0555 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2020, May 18, 2020, Mar 12, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Helen Merritt M.d. NPPES

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

DR. HELEN MERRITT M.D. (NPI 1790075927) is an individual ophthalmic plastic and reconstructive surgery provider in Dallas, Texas, licensed in Texas (S1862) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Texas Institute For Surgery At Presbyterian Hospit, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790075927
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameDR. HELEN MERRITTCredential: M.D.
Location Address8230 WALNUT HILL LN STE 508Dallas, TX 75231-4400
Mailing Address8230 Walnut Hill Ln Ste 508Dallas, TX 75231-4400 · (214) 369-0555
Fax(214) 369-0555
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2011
Enumeration DateApril 8, 2011
Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
NPI 1790075927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in TX · S1862
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedSpecialistTaxonomy 174400000X · License A132447 (CA)
Also ListedOphthalmologyTaxonomy 207W00000X · License A132447 (CA)
8230 WALNUT HILL LN STE 508, Dallas, TX 75231

Secondary Practice Locations 2

Location 11708 Coit Rd Ste 200Plano, TX 75075-5025 · Phone (214) 369-0555 · Fax (214) 363-6759
Location 21625 N US Highway 75Sherman, TX 75090-2815 · Phone (214) 369-0555 · Fax (214) 363-6759

Other Identifiers 1

Medicaid1790075927CA

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

Dr. Helen 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 ID9537475074
PECOS Enrollment IDI20190722002517
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 13

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.

Injection, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
3,668 services19 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
178 services176 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.
155 services154 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.
123 services102 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.
114 services114 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
57 services57 patients

Hospital Affiliations CMS Care Compare

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

Texas Institute For Surgery At Presbyterian Hospit

Acute Care Hospitals · Dallas, TX
OwnershipPhysician
CMS Certification Number450889
Location7115 Greenville Avenue Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Helen Merritt's NPI number?

The NPI number for Helen Merritt is 1790075927. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Helen Merritt located?

Helen Merritt practices at 8230 Walnut Hill Ln Ste 508, Dallas, TX 75231. The listed phone number is (214) 369-0555.

What is Helen Merritt's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Helen Merritt enrolled in Medicare?

Yes. Helen 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.

What insurance does Helen Merritt accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Helen Merritt 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 Helen Merritt affiliated with any hospitals?

According to CMS data, Helen Merritt is affiliated with Texas Institute For Surgery At Presbyterian Hospit.

When was this NPI record last updated?

The NPPES record for Helen Merritt was last updated on November 27, 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.