Matt G. Merrell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP878 Issued in ID

Practice address

526H Shoup Ave W.
Twin Falls, ID 83301-5050

Phone

(208) 733-2400

Fax

(208) 734-0343

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River View Eye Specialists PLLCGroup PAC ID 1557892460, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.24 of 100Reported as group

Quality

89.7

Improvement activities

40

Cost

81.2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmerrell@waa.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River View Eye Specialists PLLC

  • Ophthalmology Physician
  • Twin Falls, ID
  • NPI 1467216861

  Optometrist

  Medicare reassignment Care Compare group NPD
• Welch and Allan, MD PA

  • Ophthalmology Physician
  • Twin Falls, ID
  • NPI 1376697128
  Medicare reassignment NPD
• Michael K Taylor, MD, & Jason T Halverson, MD, PLLC

  • Ophthalmology Physician
  • Twin Falls, ID
  • NPI 1164455259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1124079041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526H SHOUP AVE W.",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015050",
            "telephone_number": "208-733-2400",
            "fax_number": "208-734-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526H SHOUP AVE W.",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015050",
            "telephone_number": "208-733-2400",
            "fax_number": "208-734-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "MATT",
        "middle_name": "G.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000309200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Christopher Melvin, MD
• Molly Mendelsohn, SLP
• Jessica Mendez, M.D.
• Alejandra Yanely Mendoza, LMSW
• Ginny Meredith
• Kyle Messer
• Justin Mette, DC
• Bradley Meyer
• John Meyers, CRNA
• Michael K Taylor, MD, & Jason T Halverson, MD, PLLC

• Optometrist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.