Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Daniel Merrill , DO

Pediatrics โ€ข Madera, CA

Active NPI 1467914291 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

9300 Valley Childrens Pl # Sc05
Madera, CA 936368761

Call 5593533000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9300 Valley Childrens Pl # Sc05

Madera, CA 936368761

Telephone 5593533000
Organization at the Same NPPES Address or Phone
Valley Children's Hospital Facility NPI 1063573962

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Northern Arizona Healthcare Corporation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Medicare patients

296 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $81,187 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $64,227 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

170 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$974 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Merrill has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Merrill as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Madera and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Pediatrics in California (2024, 114 clinicians with data). Median for this group: 204. Middle half: 49 to 453.

Too few clinicians listed under Pediatrics in Madera have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Pediatrics in California (2024, 114 clinicians with data). Median for this group: $17,368. Middle half: $3,806 to $47,039.

Too few clinicians listed under Pediatrics in Madera have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Pediatrics in California (2024, 114 clinicians with data). Median for this group: $11,871. Middle half: $3,077 to $33,609.

Too few clinicians listed under Pediatrics in Madera have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Pediatrics in California (2024, 232 clinicians with data). Median for this group: 109. Middle half: 27 to 558.

Too few clinicians listed under Pediatrics in Madera have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Pediatrics in California (2024, 232 clinicians with data). Median for this group: $6,527. Middle half: $649 to $49,058.

Too few clinicians listed under Pediatrics in Madera have Medicare Part D data for 2024 to compare.

85 active clinicians are listed under Pediatrics with a practice address in Madera, CA (9,280 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Madera

1.2% of these 85 clinicians have the CMS telehealth indicator.

7.1% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
374 165 $206.00 $112.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
191 98 $145.00 $75.14
99239 Hospital discharge day management, more than 30 minutes
183 179 $212.00 $109.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
20 20 $271.00 $125.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
13 13 $399.00 $165.78

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 19 54 $60.81 19
Prednisone Prednisone 17 76 $30.72 17
Furosemide Furosemide 17 570 $41.45 17
Atorvastatin Calcium Atorvastatin Calcium 16 690 $79.77 16
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 15 40 $53.85 15
Albuterol Sulfate Hfa Albuterol Sulfate 15 357 $473.23 12
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 13 96 $62.75 13
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 12 28 $30.11 11
Metoprolol Succinate Metoprolol Succinate 12 360 $85.35 12
Amlodipine Besylate Amlodipine Besylate 11 390 $18.80 11
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 11 89 $36.99 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA 20A22063

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES KS 94-10001

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES MO 2019021760

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MO 2019021760

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES KS 94-10001

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES AZ 010652

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20230918003192

Enrollment State Jurisdiction

AZ

PECOS Control ID

1557696465

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northern Arizona Healthcare Corporation

1215 N Beaver St, Flagstaff, AZ 860013126

Phone: 9287732249

Northern Arizona Healthcare Corporation

7810 N Us Hwy 89, Flagstaff, AZ 860046255

Phone: 9285228375

Northern Arizona Healthcare Corporation

1200 N Beaver St, Flagstaff, AZ 860013118

Northern Arizona Healthcare Corporation

2000 S Thompson St, Flagstaff, AZ 860018759

Phone: 9282266400

Northern Arizona Healthcare Corporation

1200 N Beaver St, Flagstaff, AZ 860013118

Phone: 9282142920

Northern Arizona Healthcare Corporation

269 S Candy Ln, Cottonwood, AZ 863264158

Phone: 9286341331

Northern Arizona Healthcare Corporation

269 S Candy Ln, Cottonwood, AZ 863264158

Phone: 9286395588

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Therese Hinz , NP

Nurse Practitioner - Pediatrics

NPI 1134525728

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location November 03, 2023

Registered at 9300 VALLEY CHILDRENS PL # SC05, MADERA, CA 936368761 (Tel: 5593533000)

๐Ÿ“
Updated Business Mailing Address November 03, 2023

Registered at 9300 VALLEY CHILDRENS PL # SC05, MADERA, CA 936368761 (Tel: 5593533000)

๐Ÿ“
Updated Practice Location June 23, 2023

Registered at 1200 N BEAVER ST, FLAGSTAFF, AZ 860013118 (Tel: 9287793366)

๐Ÿ“
Updated Business Mailing Address June 23, 2023

Registered at 1200 N BEAVER ST, FLAGSTAFF, AZ 860013118

๐Ÿ‘ค
Provider Name / Credentials Updated June 27, 2019

Recorded as DANIEL MERRILL, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Internal Medicine (license number reported to NPPES: KS 94-10001)

โœ…
NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 01, 2019

Registered at 2301 HOLMES ST, KANSAS CITY, MO 641082640 (Tel: 8164044175)

๐Ÿ“
Business Mailing Address (Initial Record) April 01, 2019

Registered at 2301 HOLMES ST, KANSAS CITY, MO 641082640

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 01, 2019

Recorded as DANIEL MERRILL

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467914291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2019
Last Update: November 03, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Madera

All Pediatrics Specialists in Madera

Mailing Address

9300 Valley Childrens Pl # Sc05

Madera, CA 936368761

Phone: 5593533000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.