JOHN ANTHONY MERCHUN MD
NPI 1851325971
Radiology - Diagnostic Radiology in Greenville, MI
About John Anthony Merchun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ANTHONY MERCHUN MD (NPI 1851325971) is an individual diagnostic radiology provider in Greenville, Michigan, licensed in Michigan (4301070097) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Michigan State University College Of Human Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
John Anthony Merchun 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Merchun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, MI 48838
- Reassigned Medicare billing, Michigan enrollment
- 242 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 228 clinicians in this Medicare group
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 46
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeland Hospital, St Joseph
Acute Care Hospitals · St Joseph, MISpectrum Health United Hospital
Acute Care Hospitals · Greenville, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MICorewell Health Big Rapids Hospital
Acute Care Hospitals · Big Rapids, MICorewell Health Ludington Hospital
Acute Care Hospitals · Ludington, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48838 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Merchun's NPI number?
The NPI number for John Merchun is 1851325971. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is John Merchun located?
John Merchun practices at 615 South Bower Street, Greenville, MI 48838. The listed phone number is (616) 754-4691.
What is John Merchun's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is John Merchun enrolled in Medicare?
Yes. John Merchun 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 John Merchun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Merchun reassigns Medicare benefits to 2 organizations: Spectrum Health United (Greenville, MI) and Advanced Radiology Services PC (Grand Rapids, MI). 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 John Merchun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Merchun accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list John Merchun 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 Merchun affiliated with any hospitals?
According to CMS data, John Merchun is affiliated with Lakeland Hospital, St Joseph, Spectrum Health United Hospital, Spectrum Health, Corewell Health Big Rapids Hospital and Corewell Health Ludington Hospital.
When was this NPI record last updated?
The NPPES record for John Merchun was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.