MATTHEW THEODORE MERCHANT
NPI 1861073199
Emergency Medicine in Saint Joseph, MI
About Matthew Theodore Merchant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW THEODORE MERCHANT (NPI 1861073199) is an individual emergency medicine provider in Saint Joseph, Michigan, licensed in Michigan (4301511452) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains a secondary practice location in South Bend.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Matthew Theodore Merchant 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 Matthew Merchant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 69 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INCommunity Hospital Of Bremen Inc
Critical Access Hospitals · Bremen, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
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 Matthew Merchant's NPI number?
The NPI number for Matthew Merchant is 1861073199. It was assigned to this individual provider in the NPPES registry on April 19, 2021.
Where is Matthew Merchant located?
Matthew Merchant practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (413) 654-7779.
What is Matthew Merchant's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Merchant enrolled in Medicare?
Yes. Matthew Merchant 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 Matthew Merchant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Merchant reassigns Medicare benefits to 2 organizations: Epmg Southwest Michigan PLLC (Saint Joseph, MI) and South Bend Emergency Physicians, Inc (South Bend, IN). 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 Matthew Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Merchant accept?
Health plans from CareSource list Matthew Merchant 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 Matthew Merchant affiliated with any hospitals?
According to CMS data, Matthew Merchant is affiliated with Memorial Hospital Of South Bend and Community Hospital Of Bremen Inc.
When was this NPI record last updated?
The NPPES record for Matthew Merchant was last updated on September 20, 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.
# Matthew Theodore Merchant · NPI 1861073199
Emergency Medicine physician in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since April 19, 2021.
## Identity
- **NPI:** 1861073199 (Entity type: Individual)
- **Enumerated:** April 19, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301511452 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1234 NAPIER AVE, Saint Joseph, MI 49085-2112
- **Phone:** (413) 654-7779
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Epmg Southwest Michigan PLLC (NPI 1316405103, Saint Joseph, MI); South Bend Emergency Physicians, Inc (NPI 1487132114, South Bend, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2022
## Record status
- **NPPES last updated:** September 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861073199) · Data from the CMS NPPES public registry.