JOHN RUSSELL MERCKE JR. MD
NPI 1821594763
Family Medicine in Leesville, LA

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment
59.83/100
CMS Quality Rating
1020 W FERTITTA BLVD, LEESVILLE, LA 71446(337) 392-6203 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2021, Mar 31, 2018 (2 updates tracked since 2018).

About John Russell Mercke Jr. Md NPPES

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

JOHN RUSSELL MERCKE JR. MD (NPI 1821594763) is an individual family medicine provider in Leesville, Louisiana, licensed in Louisiana (328002) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1821594763
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN RUSSELL MERCKE JR.Credential: MD
Location Address1020 W FERTITTA BLVDLeesville, LA 71446-4645
Mailing Address700 S 6th StLeesville, LA 71446-4719 · (373) 926-2033
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2018
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
NPI 1821594763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 328002
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1020 W FERTITTA BLVD, Leesville, LA 71446

Secondary Practice Location 1

Location 1301 4th StAlexandria, LA 71301-8411 · Phone (318) 441-1030

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

John Russell Mercke Jr. Md 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 ID1456602937
PECOS Enrollment IDI20210729001894
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 5

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.
455 services208 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.
267 services255 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.
189 services119 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.
68 services68 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Oakdale Community Hospital

Acute Care Hospitals · Oakdale, LA
OwnershipProprietary
CMS Certification Number190106
Location130 N Hospital DrOakdale, LA 71463 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71446 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

59.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality29.93
Promoting Interoperability95
Improvement Activities20
Cost56.2

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers31 claims31 services$21.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers50 claims50 services$116.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
1020 W FERTITTA BLVD
LEESVILLE, LA 71446
Emergency Medicine
1020 W FERTITTA BLVD
LEESVILLE, LA 71446
Emergency Medicine
1020 W FERTITTA BLVD
LEESVILLE, LA 71446
Radiology (Diagnostic Radiology)
1020 W FERTITTA BLVD
LEESVILLE, LA 71446
Emergency Medicine
1020 W FERTITTA BLVD
LEESVILLE, LA 71446
Nurse Practitioner (Family)
1020 W FERTITTA BLVD
LEESVILLE, LA 71446
Radiology (Diagnostic Radiology)
1020 W FERTITTA BLVD
LEESVILLE, LA 71446
Anesthesiology
1020 W FERTITTA BLVD
LEESVILLE, LA 71446

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 John Mercke's NPI number?

The NPI number for John Mercke is 1821594763. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Where is John Mercke located?

John Mercke practices at 1020 W Fertitta Blvd, Leesville, LA 71446. The listed phone number is (337) 392-6203.

What is John Mercke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Mercke enrolled in Medicare?

Yes. John Mercke 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 John Mercke accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and CHRISTUS Health Plan and 2 other insurers list John Mercke 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 John Mercke affiliated with any hospitals?

According to CMS data, John Mercke is affiliated with Christus St Frances Cabrini Hospital, Rapides Regional Medical Center and Oakdale Community Hospital.

When was this NPI record last updated?

The NPPES record for John Mercke was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.