1. Home
  2. Directory
  3. Pennsylvania
  4. Boyertown
  5. Family Medicine
  6. NPI Profile

CANDICE WIDUCH-MERT MD
NPI 1902242050
Family Medicine in Boyertown, PA

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
146 S READING AVE STE 101, BOYERTOWN, PA 19512(610) 898-5460 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2025, Dec 5, 2024, Aug 14, 2023 and 4 more (7 updates tracked since 2016).

About Candice Widuch-mert Md NPPES

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

CANDICE WIDUCH-MERT MD (NPI 1902242050) is an individual family medicine provider in Boyertown, Pennsylvania, licensed in Pennsylvania (MD458967) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902242050
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCANDICE WIDUCH-MERTCredential: MD
Location Address146 S READING AVE STE 101Boyertown, PA 19512-1480
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(610) 898-5460
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 16, 2013
Last NPPES UpdateNovember 3, 20257 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1902242050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD458967
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
146 S READING AVE STE 101, Boyertown, PA 19512
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1203 College Park PlzJohnstown, PA 15904-2833 · Phone (814) 961-3500 · Fax (814) 254-4811
Location 2227 Franklin St Ste 304Johnstown, PA 15901-1916 · Phone (814) 634-4968 · Fax (814) 254-4020

Other Identifiers 2

Medicaid103150668PA
OtherMD458967PA · Pa Medical License

Accepted Insurance

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

Candice Widuch-mert 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.

PECOS PAC ID9436381852
PECOS Enrollment IDI20161005001110
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Candice Widuch-mert reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Urgent Care, LLC
7.2 mi
Emergency Medicine
1139 BEN FRANKLIN HWY W STE 114
Douglassville, PA 19518
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 86 clinicians in this Medicare group
NPI 1194293647 (610) 385-4444
Tower Health Medical Group
10 mi
Internal Medicine
321 N FURNACE ST STE 100
Birdsboro, PA 19508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1609291350 (610) 898-9330
Hyndman Area Health Center, Inc.
167 mi
Federally Qualified Health Center (FQHC)
144 FIFTH AVENUE
Hyndman, PA 15545
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
NPI 1992754014 (814) 842-3206
Apogee Medical Group Of Pennsylvania PC
2,045 mi
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 383 clinicians in this Medicare group
NPI 1568633535 (972) 269-1907

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
96 services51 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.
31 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services16 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19512 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims28 services$6.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Candice Widuch-mert's NPI number?

The NPI number for Candice Widuch-mert is 1902242050. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Where is Candice Widuch-mert located?

Candice Widuch-mert practices at 146 S Reading Ave Ste 101, Boyertown, PA 19512. The listed phone number is (610) 898-5460.

What is Candice Widuch-mert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Candice Widuch-mert enrolled in Medicare?

Yes. Candice Widuch-mert 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 Candice Widuch-mert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Widuch-mert reassigns Medicare benefits to 4 organizations: Tower Health Urgent Care, LLC (Douglassville, PA), Tower Health Medical Group (Birdsboro, PA), Hyndman Area Health Center, Inc. (Hyndman, PA) and Apogee Medical Group Of Pennsylvania PC (Scottsdale, AZ). 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 Candice Widuch-mert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Widuch-mert accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Candice Widuch-mert 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 Candice Widuch-mert affiliated with any hospitals?

According to CMS data, Candice Widuch-mert is affiliated with Reading Hospital and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Candice Widuch-mert was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.