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MATTHEW THEODORE MERCHANT
NPI 1861073199
Emergency Medicine in Saint Joseph, MI

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(413) 654-7779 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2024, Apr 19, 2022, Apr 19, 2021 (3 updates tracked since 2021).

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 is a graduate of Rush Medical College Of Rush University (2022).

NPPES Registry Identity

NPI1861073199
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW THEODORE MERCHANT
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112
Phone(413) 654-7779
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2022
Enumeration DateApril 19, 2021
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1861073199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MI · 4301511452✔ Licensed in IN · 01094731A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1234 NAPIER AVE, Saint Joseph, MI 49085
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

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.

PECOS PAC ID5193103646
PECOS Enrollment IDI20241216002864
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.

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, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

HANY S MESIHA MD
Internal Medicine
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8300
CORY MINIER SCHMIDT MD
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
JORDAN ANDERSON
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8332
DR. KAREN J DYER M.D.
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
MR. NATHAN JOHN JORDAN MD
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Berrien County (269) 983-8300
DR. JAMES G. SISAMIS MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. DIEGO P BETITA MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. JESSICA LYNN HAMILL SCHINDLER D.O.
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085
Berrien County (269) 982-4941

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.

What insurance does Matthew Merchant accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian 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 22 months 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.