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PAUL J MERKEL DPM
NPI 1932203577
Podiatrist in Rochester, NY

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1404 PORTLAND AVENUE, ROCHESTER, NY 14621(585) 266-1940(585) 266-2223 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul J Merkel Dpm NPPES

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

PAUL J MERKEL DPM (NPI 1932203577) is an individual podiatrist in Rochester, New York, licensed in New York (004993) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1932203577
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePAUL J MERKELCredential: DPM
Location Address1404 PORTLAND AVENUERochester, NY 14621
Mailing Address908 Niagara Falls Blvd, Ste 208N Tonawanda, NY 14120 · (716) 692-2160 · Fax (716) 692-4342
Phone(585) 266-1940
Fax(585) 266-2223
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1932203577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in NY · 004993✔ Licensed in NY · N004993-1
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1404 PORTLAND AVENUE, Rochester, NY 14621
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Other Identifiers 5

Other8146NY · Blue Cross/shield
Medicare PIN11857CNY
Medicaid01532310NY
OtherMD486RNY · Preferred Care
Medicare UPINU37400NY

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

Paul J Merkel Dpm 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 ID2860589975
PECOS Enrollment IDI20100405000339
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 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.
356 services186 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
45 services27 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
20 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BHASKAR BHATTACHARYYA DPM
Podiatrist (Foot Surgery)
1404 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 266-1940

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 Paul Merkel's NPI number?

The NPI number for Paul Merkel is 1932203577. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Paul Merkel located?

Paul Merkel practices at 1404 Portland Avenue, Rochester, NY 14621. The listed phone number is (585) 266-1940.

What is Paul Merkel's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Paul Merkel enrolled in Medicare?

Yes. Paul 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 Paul Merkel affiliated with any hospitals?

According to CMS data, Paul Merkel is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Paul Merkel was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.