Dr. Avalon Mertens, DO
55 Highland Ave Ste 104, Salem, MA 01970 • +1-815-555-7282
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Salem Percentiles
NPI #1689066987 • CBSA Regional • Pulmonary Disease
Dr. Avalon Mertens, DO (NPI #1689066987) practices Pulmonary Disease in Salem, MA (01970) with sub-specialty concentration in 51 Active CMS HCPCS Codes, recording 1,280 annual CMS services across 466 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (40th Salem percentile) (-0.12σ vs MA state mean, 52.81th statewide percentile).
Granular CPT/HCPCS billing distribution at 55 Highland Ave Ste 104 shows Dr. Avalon Mertens's primary concentration in Established Pulmonary, Asthma & COPD Management (code 99214: 525x/yr, 40th local percentile) alongside Pre- & Post-Bronchodilator Spirometry Airflow Evaluation (94060: 294x/yr, $115–$157).
Self-pay new patient consultations with Dr. Mertens (CPT 99204 GPCI-adjusted benchmark) estimate around $224.00 (community reported average: $224.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.50/5 modern protocol openness score across 19 patient logs.
From 55 Highland Ave Ste 104 in Salem (+1-815-555-7282), Dr. Mertens, DO (24-year clinical track record) delivers 51 Active CMS HCPCS Codes care.
Compared against Salem, MA Pulmonary Disease peers
1,280 annual services across 466 beneficiaries
Standard deviations from MA Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 525 | 40th | $176 – $241 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 294 | 41th | $115 – $157 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 218 | 38th | $104 – $142 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 141 | 38th | $321 – $440 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 102 | 36th | $247 – $339 |
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Dr. Avalon Mertens, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mertens National Provider Identifier | NPI #1689066987 (DO) | CMS NPPES Registry (01970) |
| Dr. Mertens Salem CMS Volume Rank | 40.00th Pct (1,280 CMS svcs; Z -0.122σ) | CMS Medicare Part B (MA Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Salem, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 13 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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