HEATH R MERKLEY M.D.
NPI 1942430103
Obstetrics & Gynecology in Joplin, MO
About Heath R Merkley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATH R MERKLEY M.D. (NPI 1942430103) is an individual obstetrics & gynecology provider in Joplin, Missouri, licensed in Missouri (2013043016) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Heath R Merkley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heath Merkley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Joplin, MO 64804
- Reassigned Medicare billing, Missouri enrollment
- 562 clinicians in this Medicare group
Carthage, MO 64836
- Reassigned Medicare billing, Missouri enrollment
- 133 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Joplin
Acute Care Hospitals · Joplin, MOMercy Hospital Carthage
Critical Access Hospitals · Carthage, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JOPLIN, MO 64804
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 Heath Merkley's NPI number?
The NPI number for Heath Merkley is 1942430103. It was assigned to this individual provider in the NPPES registry on July 22, 2009.
Where is Heath Merkley located?
Heath Merkley practices at 100 Mercy Way, Joplin, MO 64804. The listed phone number is (417) 623-6056.
What is Heath Merkley's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Heath Merkley enrolled in Medicare?
Yes. Heath Merkley 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 organizations bill Medicare for Heath Merkley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heath Merkley reassigns Medicare benefits to 2 organizations: Mercy Clinic Joplin LLC (Joplin, MO) and Mercy Hospital Carthage (Carthage, MO). Each 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 Heath Merkley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heath Merkley accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Medica and 1 other insurer list Heath Merkley 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 Heath Merkley affiliated with any hospitals?
According to CMS data, Heath Merkley is affiliated with Mercy Hospital Joplin and Mercy Hospital Carthage.
When was this NPI record last updated?
The NPPES record for Heath Merkley was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Heath R Merkley, M.D. · NPI 1942430103
Obstetrics & Gynecology physician in Joplin, Missouri. Individual provider, active in the CMS NPPES registry since July 22, 2009.
## Identity
- **NPI:** 1942430103 (Entity type: Individual)
- **Enumerated:** July 22, 2009
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 2013043016 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MERCY WAY, Joplin, MO 64804-4524
- **Phone:** (417) 623-6056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Joplin LLC (NPI 1215264817, Joplin, MO); Mercy Hospital Carthage (NPI 1992074959, Carthage, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 4, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1942430103) · Data from the CMS NPPES public registry.