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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: October 25, 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 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Merkler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Macomb Hospital Corporation
39 mi
Urgent Care
80650 VAN DYKE RD
Bruce, MI 48065
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
NPI 1568508059 (810) 798-6430

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

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

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.

Which organization bills Medicare for Michael Merkler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Merkler reassigns Medicare benefits to Henry Ford Macomb Hospital Corporation (Bruce, MI). The 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 Michael Merkler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Merkler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer 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.

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 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.