DR. MERRY ELLEN SEBELIK M.D.
NPI 1871599332
Otolaryngology in Atlanta, GA

Q: What is Merry Sebelik's NPI number?

The NPI number for Merry Sebelik is 1871599332. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Merry Sebelik's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Merry Sebelik was last updated on August 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

550 PEACHTREE ST NE, SUITE 1135, ATLANTA, GA 30308(404) 727-9610(404) 712-1540 Get Directions Write a Review

NPPES record last updated: August 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Merry Ellen Sebelik M.d. NPPES

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

DR. MERRY ELLEN SEBELIK M.D. (NPI 1871599332) is an individual otolaryngology provider in Atlanta, Georgia, licensed in Tennessee (31659) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Medical College Of Georgia School Of Medicine (1986).

NPPES Registry Identity

NPI1871599332

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameDR. MERRY ELLEN SEBELIKCredential: M.D.

Location Address550 PEACHTREE ST NE, SUITE 1135Atlanta, GA 30308-2212

Mailing Address550 Peachtree St Ne, Suite 1135Atlanta, GA 30308-2212 · (404) 727-9610 · Fax (404) 712-1540

Phone(404) 727-9610

Fax(404) 712-1540

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1986

Enumeration DateJune 21, 2005

Last NPPES UpdateAugust 7, 2016

✔ NPI 1871599332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in TN · 31659✔ Licensed in FL · ME97014

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

550 PEACHTREE ST NE, Atlanta, GA 30308

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Other Identifiers 6

OtherP00380951FL · Railroad Medicare

Other56616FL · Bcbs

Medicare PIN5M830AR

Medicare UPINE86877

Medicare PIN3841350TN

Medicare PINU8518ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Merry Ellen Sebelik M.d. 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 ID5395632616

PECOS Enrollment IDI20161017000254

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 3

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.

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

58 services52 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

92.26/100

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

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

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.

DR. DOMINIC JOSEPH PAPANDRIA M.D.

Surgery