MARC A. MERROTO MD
NPI 1831139476
Psychiatry & Neurology - Neurology in Phoenix, AZ

Q: What is Marc Merroto's NPI number?

The NPI number for Marc Merroto is 1831139476. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Marc Merroto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Marc Merroto was last updated on March 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment

93.37/100

CMS Quality Rating

2525 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-1015 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Marc A. Merroto Md NPPES

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

MARC A. MERROTO MD (NPI 1831139476) is an individual neurology provider in Phoenix, Arizona, licensed in Arizona (006366) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1991).

NPPES Registry Identity

NPI1831139476

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMARC A. MERROTOCredential: MD

Location Address2525 E ROOSEVELT STPhoenix, AZ 85008-4948

Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000

Phone(602) 344-1015

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1991

Enumeration DateJune 8, 2006

Last NPPES UpdateMarch 4, 2015

✔ NPI 1831139476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in AZ · 006366

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2525 E ROOSEVELT ST, Phoenix, AZ 85008

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Other Identifiers 3

Medicare UPING23268

Medicaid332461AZ

Medicare PINZ133825AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Marc A. Merroto 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 ID6406915024

PECOS Enrollment IDI20081111000344

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 2

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.

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.

14 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

93.37/100

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

Scored as part of a group practice

Quality

94.57

Promoting Interoperability

Improvement Activities

Cost

62.14

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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.

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