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Physician Profile

Peter A. Merkel, MD, MPH

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At a glance

About Dr. Merkel

Based in Radnor, PA, Peter A. Merkel, MD, MPH is listed in the NPI registry under rheumatology. Peter graduated from Yale University School of Medicine in 1988. Peter is also listed as specializing in internal medicine. Medicare claims data shows Peter provided 120 services to 93 patients. The services billed most often include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more. NPI 1437136173 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Rheumatology (Primary)
Internal Medicine (Additional)

Credentials & Licensing

PA licenceAs reported to the NPI registry
No. MD043272LAs reported
MA licenceAs reported to the NPI registry
No. 75719As reported
NPINational Provider Identifier
1437136173Issued 2005

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Merkel's specialty?

Dr. Merkel is a rheumatologist in Radnor, PA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Rheumatology”.

NPI registry

Where can I find Dr. Merkel?

Dr. Merkel is listed at 250 King of Prussia, Radnor, PA 19087. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Merkel?

The number on file is (610) 902-5700. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Merkel?

Dr. Merkel's National Provider Identifier is 1437136173. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Merkel's medical education?

Dr. Merkel attended Yale University School of Medicine, graduating in 1988. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Merkel have?

Dr. Merkel has 38 years experience. Calculated from a graduation year of 1988, reported in the CMS National Downloadable File.

CMS public data

What is Dr. Merkel known for?

According to Medicare billing data, Dr. Merkel the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Dr. Merkel's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Merkel. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.