DR. VIKAS MERCHIA M.D.
NPI 1811966948
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Brockton, MA

Q: What is Vikas Merchia's NPI number?

The NPI number for Vikas Merchia is 1811966948. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Vikas Merchia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Vikas Merchia was last updated on April 24, 2024. 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.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

96.67/100

CMS Quality Rating

830 OAK ST, SUITE 102W, BROCKTON, MA 02301(508) 521-9259(508) 897-4778 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2024, Feb 5, 2016 (2 updates tracked since 2016).

On this page

About Dr. Vikas Merchia M.d. NPPES

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

DR. VIKAS MERCHIA M.D. (NPI 1811966948) is an individual urogynecology and reconstructive pelvic surgery provider in Brockton, Massachusetts, licensed in Massachusetts (208912) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1996).

NPPES Registry Identity

NPI1811966948

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameDR. VIKAS MERCHIACredential: M.D.

Location Address830 OAK ST, SUITE 102WBrockton, MA 02301-1168

Mailing Address830 Oak St, Suite 102wBrockton, MA 02301-1168 · (508) 521-9259 · Fax (844) 823-0453

Phone(508) 521-9259

Fax(508) 897-4778

Sole ProprietorYes

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1996

Enumeration DateMarch 14, 2006

Last NPPES UpdateApril 24, 20242 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1811966948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in MA · 208912

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedSpecialistTaxonomy 174400000X · License MD070229L (PA)

Also ListedInternal MedicineTaxonomy 207R00000X · License 208912 (MA)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 208912 (MA), MD070229L (PA)

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 208912 (MA)

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 208912 (MA)

830 OAK ST, Brockton, MA 02301

Open in Google Maps ↗

Other Identifiers 3

Medicaid001861621PA

Medicaid11075068MA

Medicaid2126842MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vikas Merchia 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 ID3274633276

PECOS Enrollment IDI20070705000015

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.

Medicare Billing Reassignments

Medicare enrollment records show Vikas Merchia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Esp Medical LLC

Same address

Urogynecology and Reconstructive Pelvic Surgery

830 OAK ST, SUITE 102W
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment

NPI 1548592934 (508) 521-9259

Brockton Neighborhood Health Center

2.1 mi

Federally Qualified Health Center (FQHC)

158 PLEASANT STREET
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
128 clinicians in this Medicare group

NPI 1497148407 (508) 559-6699

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

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.

819 services220 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

319 services136 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.

279 services118 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

105 services70 patients

Irrigation of vagina and/or application of drug to treat infection 57150

This procedure involves gently flushing the internal area with a sterile solution to cleanse it. After cleansing, a medication is applied to help treat any existing infection. This process is performed by a healthcare professional to ensure your comfort and safety.

102 services69 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

71 services51 patients

Simple destruction of growth of vagina 57061

This procedure involves the removal of a benign growth located in the female reproductive system. It's a simple process where the growth is carefully destroyed to prevent any complications. This is done with utmost care and precision to ensure patient safety.

61 services32 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.

59 services59 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

52 services51 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

50 services49 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

50 services49 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

50 services49 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

39 services39 patients

Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

38 services37 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

37 services37 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

35 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services22 patients

Urine pregnancy test 81025

A urine pregnancy test is a simple procedure that checks if you might be expecting a baby. It works by detecting a specific hormone in your urine that is only present when a baby is potentially on the way. It's a quick, easy and private method to get early information.

27 services26 patients

Repair of prolapsing vaginal vault through vagina 57283

This procedure involves fixing a condition where the top part of the inner passage drops down. This is done through the same passage without any external incisions. It aims to restore normal structure and function.

25 services25 patients

Removal of uterus with repair for incontinence, 250.0 g or less 58267

This procedure involves the removal of a part of your body that's not functioning properly. It also includes a repair process to help with involuntary leakage issues. It's a common procedure that can greatly improve your quality of life.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220111

Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

96.67/100

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

Individually scored

Quality

87.21

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

71%531 patients4/55-star benchmark: 93%

Cervical Cancer Screening

83%444 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

1%78 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

63%721 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

61%109 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

72%72 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%4,778 patients4/55-star benchmark: 100%

e-Prescribing

91%1,044 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

69%1,162 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

25%3,273 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 49% · 999 patients

Patients screened: 51% · 999 patients

38%47 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

87%875 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

73%217 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 356 patients

Patients totalRate: 4% · 357 patients

4%357 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 20

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

ESP MED LLC

Obstetrics & Gynecology

830 OAK ST, SUITE 102W
BROCKTON, MA 02301

Plymouth County (508) 897-4790

CAROLINE B MUDD NP

Nurse Practitioner (Women's Health)

830 OAK ST, SUITE 223E-GOOD SAMARITAN WOMEN'S HEALTH
BROCKTON, MA 02301

Plymouth County (508) 427-2222

ALBERT A. ACKIL, M.D., INC.

Psychiatry & Neurology (Neurology)

830 OAK ST
BROCKTON, MA 02301

Plymouth County (508) 583-1295

HOCH LLC

Obstetrics & Gynecology (Gynecology)

830 OAK ST, STE 102W
BROCKTON, MA 02301

Plymouth County (508) 897-4790

ROSEMARIE PAOLINI NP

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)

830 OAK ST, SUITE 105W
BROCKTON, MA 02301

Plymouth County (508) 427-3668

JEFFREY R. PARSONS DMD

Dentist (Oral and Maxillofacial Surgery)

830 OAK ST, SUITE 101W
BROCKTON, MA 02301

Plymouth County (508) 586-5445

ROBIN LOUISE GALVIN NP

Nurse Practitioner (Acute Care)

830 OAK ST, STE 105W
BROCKTON, MA 02301

Plymouth County (508) 427-3668

DR. SHENBAGAVALLI RAMASWAMI MD

Obstetrics & Gynecology (Obstetrics)

830 OAK ST
BROCKTON, MA 02301

Plymouth County (781) 585-9522

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 Vikas Merchia's NPI number?

The NPI number for Vikas Merchia is 1811966948. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Vikas Merchia located?

Vikas Merchia practices at 830 Oak St Suite 102W, Brockton, MA 02301. The listed phone number is (508) 521-9259.

What is Vikas Merchia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Vikas Merchia enrolled in Medicare?

Yes. Vikas Merchia 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.

Which organizations bill Medicare for Vikas Merchia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikas Merchia reassigns Medicare benefits to 2 organizations: Esp Medical LLC (Brockton, MA) and Brockton Neighborhood Health Center (Brockton, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vikas Merchia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vikas Merchia accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Vikas Merchia 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 Vikas Merchia affiliated with any hospitals?

According to CMS data, Vikas Merchia is affiliated with Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Vikas Merchia was last updated on April 24, 2024. 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.