RICHARD L. MERKEL JR. M.D.
NPI 1871638833
Psychiatry & Neurology - Psychiatry in Charlottesville, VA

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-2241(434) 924-5149 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Jul 31, 2021, Oct 28, 2020 (3 updates tracked since 2020).

About Richard L. Merkel Jr. M.d. NPPES

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

RICHARD L. MERKEL JR. M.D. (NPI 1871638833) is an individual psychiatry provider in Charlottesville, Virginia, licensed in Virginia (0101045614) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1871638833
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRICHARD L. MERKEL JR.Credential: M.D.
Location Address1300 JEFFERSON PARK AVECharlottesville, VA 22903-3363
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 924-5149
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1979
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1871638833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in VA · 0101045614
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1300 JEFFERSON PARK AVE, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-3363 · Phone (434) 924-0211

Other Identifiers 1

Medicaid007103042VA

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

Richard L. Merkel Jr. 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 ID2769490622
PECOS Enrollment IDI20060404000269
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 4

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.

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.
192 services17 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.
146 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services11 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Optometrist
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Psychiatry & Neurology (Psychiatry)
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Transplant Surgery
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903

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 Richard Merkel's NPI number?

The NPI number for Richard Merkel is 1871638833. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Richard Merkel located?

Richard Merkel practices at 1300 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-2241.

What is Richard Merkel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Richard Merkel enrolled in Medicare?

Yes. Richard Merkel 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.

Is Richard Merkel affiliated with any hospitals?

According to CMS data, Richard Merkel is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Merkel was last updated on August 10, 2023. 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.