Individual provider Active NPI

John Clinton Merrick, MD

  • Specialist
  • Eau Claire, WI
National Provider Identifier
1215915426
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
48417020 Issued in WI
Practice address
1110 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone
(715) 514-2550
Fax
(715) 514-2558
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 48417020 WI Primary

Addresses

Primary practice location

1110 Oak Ridge Dr
Eau Claire, WI 54701-6133

Mailing address

1110 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 514-2550

Other identifiers 1

IdentifierTypeStateIssuer
34672400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000367 WI Practitioner - Plastic and Reconstructive SurgeryPractitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7012948490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Oakleaf Way
Altoona, WI 54720-2246
Phone (715) 514-2550

1110 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 514-2550

3119 Woodman Dr
Altoona, WI 54720-2668
Phone (715) 514-2550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.85 of 100Reported as group
Quality
89.04
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48417020WIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrick Plastic and Hand Surgery SC CurrentSince Jul 28, 2009 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients

Locations

1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

719 W Hamilton Ave
Ste A
Eau Claire, WI 54701
Phone (715) 235-4274

1110 Oak Ridge Dr
Eau Claire, WI 54701
Phone (715) 830-0732

Interoperability endpoints

  • Direct secure messaging: john.merrick@cumberland-directmessage.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1215915426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-514-2550",
            "fax_number": "715-514-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-514-2550",
            "fax_number": "715-514-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "JOHN",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "48417020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34672400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.