Dr. Michael Merz, MD
120 William Penn Plz, Durham, NC 27704 • +1-606-555-3686
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1285876219 • CBSA Regional • Orthopedic Surgery
Dr. Michael Merz, MD (NPI #1285876219) practices Orthopedic Surgery in Durham, NC (27704) with sub-specialty concentration in 65 Active CMS HCPCS Codes, recording 2,288 annual CMS services across 389 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (68th Durham percentile) (-0.25σ vs NC state mean, 55.68th statewide percentile).
Fee-schedule auditing of NPI 1285876219 highlights 521 annual claims for 99213 (68th Durham percentile; $122–$167 self-pay corridor) plus 391 encounters under 20610 and 275 under 73562.
At 120 William Penn Plz (27704), Dr. Michael Merz, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.89/5 bedside rating).
Patients evaluating Dr. Michael Merz in ZIP 27704 note 13 years of post-doctoral tenure (null, 2013) alongside 5.9 annual CMS procedures per patient.
Compared against Durham, NC Orthopedic Surgery peers
2,288 annual services across 389 beneficiaries
Standard deviations from NC Orthopedic Surgery 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 Orthopedic Joint & Spine Mobility Evaluation | 521 | 68th | $122 – $167 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 391 | 68th | $130 – $178 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 275 | 65th | $73 – $100 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 159 | 66th | $175 – $239 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 101 | 73th | $1124 – $1541 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (65 HCPCS billing breadth) | 841 | 68th | $137 – $199 |
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Dr. Michael Merz, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Merz National Provider Identifier | NPI #1285876219 (MD) | CMS NPPES Registry (27704) |
| Dr. Merz Durham CMS Volume Rank | 68.00th Pct (2,288 CMS svcs; Z -0.249σ) | CMS Medicare Part B (NC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Durham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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