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PERSILA V. MERTZ M.D.
NPI 1942262019
Ophthalmology in Ephrata, PA

Active since April 04, 2006PECOS Enrolled
115 E MAIN ST, EPHRATA, PA 17522(717) 733-3600(717) 721-3038 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Persila V. Mertz M.d. NPPES

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

PERSILA V. MERTZ M.D. (NPI 1942262019) is an individual ophthalmology provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD043167E) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942262019
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NamePERSILA V. MERTZCredential: M.D.
Location Address115 E MAIN STEphrata, PA 17522-2710
Mailing Address115 E Main StEphrata, PA 17522-2710 · (717) 733-3600 · Fax (717) 721-3038
Phone(717) 733-3600
Fax(717) 721-3038
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 7, 2014
✔ NPI 1942262019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD043167E
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
115 E MAIN ST, Ephrata, PA 17522
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Other Identifiers 7

Medicare UPINF32135PA
Other1093934655PA · Group Npi
Other110758Legacy Number
Medicare OSCAR/certification110758PA
Other093980PA · Medicare Provider #
Other110758Medicare Ptan
Other5984190001PA · Dmepos Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Persila V. Mertz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%162 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers14 claims14 services$27.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

PERSILA V. MERTZ, M.D., P.C.
Ophthalmology
115 E MAIN ST
EPHRATA, PA 17522
Lancaster County (717) 733-3600
A BETTER CHOICE BEHAVIORAL HEALTHCARE SERVICES
Counselor (Addiction (Substance Use Disorder))
115 E MAIN ST
EPHRATA, PA 17522
Lancaster County (717) 781-6894

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 Persila Mertz's NPI number?

The NPI number for Persila Mertz is 1942262019. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Persila Mertz located?

Persila Mertz practices at 115 E Main St, Ephrata, PA 17522. The listed phone number is (717) 733-3600.

What is Persila Mertz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Persila Mertz enrolled in Medicare?

Yes. Persila Mertz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Persila Mertz was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.