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DR. MICHAEL A. MERKLER M.D.
NPI 1962493213
Family Medicine in Sandusky, MI

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
109 N DELAWARE ST, SANDUSKY, MI 48471(810) 648-9677(810) 648-0053 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael A. Merkler M.d. NPPES

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

DR. MICHAEL A. MERKLER M.D. (NPI 1962493213) is an individual family medicine provider in Sandusky, Michigan, licensed in Michigan (4301070951) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1962493213
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL A. MERKLERCredential: M.D.
Location Address109 N DELAWARE STSandusky, MI 48471-1008
Mailing Address120 N Delaware StSandusky, MI 48471-1009 · (810) 648-9677 · Fax (810) 648-0053
Phone(810) 648-9677
Fax(810) 648-0053
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateNovember 3, 2005
Last NPPES UpdateSeptember 19, 2014
✔ NPI 1962493213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301070951
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
109 N DELAWARE ST, Sandusky, MI 48471
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Other Identifiers 2

Medicare UPING49624
Medicaid4342417MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Michael A. Merkler 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 ID8123037546
PECOS Enrollment IDI20060413000022
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 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.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48471 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

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

MCKENZIE MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677
MELISSA SHIMSHOCK FNP-C
Nurse Practitioner (Family)
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677
EMILY EILEEN QUANDT
Social Worker
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-0580
LORI M. NUGENT PA-C
Physician Assistant
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677
HELDA SOURESHO MD
Family Medicine
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677

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 Michael Merkler's NPI number?

The NPI number for Michael Merkler is 1962493213. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Michael Merkler located?

Michael Merkler practices at 109 N Delaware St, Sandusky, MI 48471. The listed phone number is (810) 648-9677.

What is Michael Merkler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Merkler enrolled in Medicare?

Yes. Michael Merkler 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 Michael Merkler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Molina Healthcare and Priority Health list Michael Merkler 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 Michael Merkler affiliated with any hospitals?

According to CMS data, Michael Merkler is affiliated with Henry Ford Macomb Hospital.

When was this NPI record last updated?

The NPPES record for Michael Merkler was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.