Dr. James Merrell, MD
2643 Patterson Rd, Suite 503, Grand Junction, CO 81506 • +1-883-555-8791
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Grand Junction Percentiles
NPI #1134330434 • CBSA Regional • Otolaryngology
Within the Grand Junction, CO (CBSA local) Otolaryngology cohort, Dr. James Merrell, MD with sub-specialty concentration in 88 Active CMS HCPCS Codes ranks at the 20th municipal percentile and 33.7th CO percentile (-0.51σ Z-score) based on 845 billed procedures for 310 patients.
Granular CPT/HCPCS billing distribution at 2643 Patterson Rd, Suite 503 shows Dr. James Merrell's primary concentration in Focused Ear, Nose, Sinus & Throat Examination (code 99213: 287x/yr, 20th local percentile) alongside Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy (31231: 211x/yr, $378–$519).
Uninsured and high-deductible cash patients visiting Dr. James Merrell in Grand Junction (81506) face an estimated $211.00 initial evaluation fee at 2643 Patterson Rd, Suite 503 (hybrid in-clinic and telehealth video consults; 20-minute average reception wait; bedside manner 4.89/5 from 16 verified reports).
Spanning 18 years of clinical practice following 2008 graduation from medical training, Dr. James Merrell integrates 88 Active CMS HCPCS Codes diagnostics for Grand Junction metro patients.
Compared against Grand Junction, CO Otolaryngology peers
845 annual services across 310 beneficiaries
Standard deviations from CO Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 287 | 20th | $188 – $258 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 211 | 23th | $378 – $519 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 161 | 19th | $276 – $378 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 110 | 15th | $133 – $182 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 76 | 25th | $119 – $163 |
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Dr. James Merrell, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Merrell National Provider Identifier | NPI #1134330434 (MD) | CMS NPPES Registry (81506) |
| Dr. Merrell Grand Junction CMS Volume Rank | 20.00th Pct (845 CMS svcs; Z -0.506σ) | CMS Medicare Part B (CO Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Grand Junction, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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