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TONY H MERCHO M.D.
NPI 1942287099
Internal Medicine in Indianapolis, IN

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
1311 N ARLINGTON AVE, SUITE # 108, INDIANAPOLIS, IN 46219(317) 357-7800 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tony H Mercho M.d. NPPES

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

TONY H MERCHO M.D. (NPI 1942287099) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01046737) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Community Hospital North, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1942287099
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTONY H MERCHOCredential: M.D.
Location Address1311 N ARLINGTON AVE, SUITE # 108Indianapolis, IN 46219-3286
Mailing Address1311 N Arlington Ave, Suite # 108Indianapolis, IN 46219-3286 · (317) 357-7800
Phone(317) 357-7800
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 29, 2005
Last NPPES UpdateJanuary 25, 2017
✔ NPI 1942287099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01046737
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1311 N ARLINGTON AVE, Indianapolis, IN 46219
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Other Identifiers 2

Other352024038IN · Tin
Medicare UPING67475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Tony H Mercho 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 ID941485932
PECOS Enrollment IDI20110509000092
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

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.
63 services26 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46219 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 6

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

DR. CRAIG RAYMOND JOHNSTON MD
Family Medicine
1311 N ARLINGTON AVE, 101
INDIANAPOLIS, IN 46219
Marion County (317) 352-9171
MS. TAQUASHA SHANTRELL MANNS LSW
Social Worker
1311 N ARLINGTON AVE
INDIANAPOLIS, IN 46219
Marion County (317) 222-5064
LISA H JONES NP
Nurse Practitioner
1311 N ARLINGTON AVE, 101
INDIANAPOLIS, IN 46219
Marion County (317) 352-9171
MS. IEVA GRUNDY BSW
Day Training/Habilitation Specialist
1311 N ARLINGTON AVE
INDIANAPOLIS, IN 46219
Marion County (317) 222-5064
CRAIG R JOHNSTON MD INC
Family Medicine
1311 N ARLINGTON AVE, 101
INDIANAPOLIS, IN 46219
Marion County (317) 352-9171
ROSIE BRYANT LMSW
Social Worker
1311 N ARLINGTON AVE
INDIANAPOLIS, IN 46219
Marion County (317) 222-5064

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 Tony Mercho's NPI number?

The NPI number for Tony Mercho is 1942287099. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Tony Mercho located?

Tony Mercho practices at 1311 N Arlington Ave Suite # 108, Indianapolis, IN 46219. The listed phone number is (317) 357-7800.

What is Tony Mercho's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tony Mercho enrolled in Medicare?

Yes. Tony Mercho 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.

What insurance does Tony Mercho accept?

Health plans from UnitedHealthcare list Tony Mercho 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 Tony Mercho affiliated with any hospitals?

According to CMS data, Tony Mercho is affiliated with Community Hospital North.

When was this NPI record last updated?

The NPPES record for Tony Mercho was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.