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DR. WILSON MERCHANT III M.D.
NPI 1922063593
Urology in Richmond, VA

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
87.31/100
CMS Quality Rating
9101 STONY POINT DR, RICHMOND, VA 23235(804) 330-9105(804) 287-6119 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2020, Oct 15, 2018 (2 updates tracked since 2018).

About Dr. Wilson Merchant Iii M.d. NPPES

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

DR. WILSON MERCHANT III M.D. (NPI 1922063593) is an individual urology provider in Richmond, Virginia, licensed in Virginia (0101 035383) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1977).

NPPES Registry Identity

NPI1922063593
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. WILSON MERCHANT IIICredential: M.D.
Location Address9101 STONY POINT DRRichmond, VA 23235
Mailing Address9101 Stony Point DrRichmond, VA 23235 · (804) 330-9105 · Fax (804) 287-6119
Phone(804) 330-9105
Fax(804) 287-6119
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1977
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1922063593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in VA · 0101 035383
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9101 STONY POINT DR, Richmond, VA 23235
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Other Identifiers 14

Other35757VA · Alliance
Other4063601VA · Aetna Ppo
Other59337VA · Southern Health
OtherC04008VA · Medicare Group #
Other207VA · Carenet
Other340009882VA · Railroad Medicare
Other45728VA · Sentara Family Care
Other790529VA · Aetna Hmo
Other414884791VA · Tricare
OtherCA4542VA · Railroad Medicare Group #
Medicaid007500921VA
Other080230000-00VA · Qualchoice
Other1900070VA · United Healthcare
Other212761VA · Cigna

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. Wilson Merchant Iii 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 ID547398950
PECOS Enrollment IDI20100505000760
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 2

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.
43 services43 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23235 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
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.

87.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.11
Promoting Interoperability96
Improvement Activities40

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. DOUGLAS H. LUDEMAN JR. M.D.
Urology
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105
MATTHEW MACEY M.D.
Urology
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105
KATHERINE CHANDLER QUICKE
Nurse Practitioner (Primary Care)
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105
STEPHEN SCOTT OAKLEY CRNA
Nurse Anesthetist, Certified Registered
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105
WILLIAM BRUCH M.D.
Urology
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105
REBECCA FRIEDA KRC DO
Radiology (Radiation Oncology)
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105
DR. THOMAS DIX HENRY M.D.
Radiology (Diagnostic Radiology)
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105
DR. ROBERT HART MOORE MD
Urology
9101 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 330-9105

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 Wilson Merchant's NPI number?

The NPI number for Wilson Merchant is 1922063593. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Wilson Merchant located?

Wilson Merchant practices at 9101 Stony Point Dr, Richmond, VA 23235. The listed phone number is (804) 330-9105.

What is Wilson Merchant's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Wilson Merchant enrolled in Medicare?

Yes. Wilson 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.

When was this NPI record last updated?

The NPPES record for Wilson Merchant was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.