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: October 25, 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, is affiliated with Bon Secours St Marys Hospital, 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
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

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

Accepted 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Wilson Merchant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
9101 STONY POINT DR
Richmond, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • 117 clinicians in this Medicare group

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 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

Hospital Affiliations CMS Care Compare

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

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.

Urology
9101 STONY POINT DR
RICHMOND, VA 23235
Urology
9101 STONY POINT DR
RICHMOND, VA 23235
Nurse Practitioner (Primary Care)
9101 STONY POINT DR
RICHMOND, VA 23235
Nurse Anesthetist, Certified Registered
9101 STONY POINT DR
RICHMOND, VA 23235
Urology
9101 STONY POINT DR
RICHMOND, VA 23235
Radiology (Radiation Oncology)
9101 STONY POINT DR
RICHMOND, VA 23235
Radiology (Diagnostic Radiology)
9101 STONY POINT DR
RICHMOND, VA 23235
Urology
9101 STONY POINT DR
RICHMOND, VA 23235

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.

Which organization bills Medicare for Wilson Merchant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Merchant reassigns Medicare benefits to Virginia Urology Center (Richmond, VA). The 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 Wilson Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilson Merchant accept?

Health plans from Oscar Health list Wilson 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 Wilson Merchant affiliated with any hospitals?

According to CMS data, Wilson Merchant is affiliated with Bon Secours St Marys Hospital.

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 6 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.