Individual provider Active NPI

Evan Chard Merrill, DPM

  • Foot Surgery Podiatrist
  • Meridian, ID
National Provider Identifier
1528166485
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
9871345 Issued in ID
Practice address
2667 E Gala CT Ste 130
Meridian, ID 83642-2788
Phone
(208) 855-5955
Fax
(208) 459-8628
NPI assigned
Sep 21, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 9871345 ID
Foot Surgery Podiatrist 213ES0131X 9871345 ID Primary

Addresses

Primary practice location

2667 E Gala CT Ste 130
Meridian, ID 83642-2788

Mailing address

2667 E Gala CT Ste 130
Meridian, ID 83642-2788
Phone (208) 855-5955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20071004000253 OR Practitioner - Podiatry 4082603147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oregon Foot and Ankle LLCGroup PAC ID 3274628359, 4 clinicians

Practice addresses (Care Compare)

1904 E Barnett Rd
Medford, OR 97504-8262
Phone 5417763338202

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
83.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue275
Removal or shaving of skin growth131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Foot & Ankle, LLC Podiatrist CurrentSince Sep 10, 2007 Accepting new patients
Core Medicine Idaho, LLC PastSince Jan 21, 2024 Accepting new patients
Medford Foot & Ankle Clinic, PC Podiatrist PastSince Jan 1, 2000 Accepting new patients
P. Roman Burk DPM PC Podiatrist PastSince Sep 20, 2022 Accepting new patients

Locations

1904 E Barnett Rd
Medford, OR 97504
Phone (541) 776-3338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1528166485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 E GALA CT STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422788",
            "telephone_number": "208-855-5955",
            "fax_number": "208-459-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 E GALA CT STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422788",
            "telephone_number": "208-855-5955",
            "fax_number": "208-459-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "EVAN",
        "middle_name": "CHARD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "9871345",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "ID",
            "license": "9871345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.