Dr. Edward Merker, MD
180 Marble Ave, Pleasantville, NY 10570 • +1-886-555-1028
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Pleasantville Percentiles
NPI #1588653109 • CBSA Regional • Family Practice
Within the Pleasantville, NY (CBSA local) Family Practice cohort, Dr. Edward Merker, MD with sub-specialty concentration in 51 Active CMS HCPCS Codes ranks at the 75th municipal percentile and 69.06th NY percentile (-0.10σ Z-score) based on 2,161 billed procedures for 368 patients.
Procedural volume for Dr. Merker is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 877 annual services, $158–$216 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 647/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 250/yr).
Self-pay new patient consultations with Dr. Merker (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with in-person clinic visits only, 21-minute average reception wait, and a 4.92/5 modern protocol openness score across 15 patient logs.
Clinical background for Dr. Merker (MD, NPI #1588653109) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 180 Marble Ave.
Compared against Pleasantville, NY Family Practice peers
2,161 annual services across 368 beneficiaries
Standard deviations from NY Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 877 | 75th | $158 – $216 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 647 | 75th | $121 – $165 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 250 | 72th | $181 – $248 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 188 | 72th | $34 – $49 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 125 | 78th | $217 – $297 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (51 HCPCS billing breadth) | 74 | 75th | $142 – $206 |
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Dr. Edward Merker, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Merker National Provider Identifier | NPI #1588653109 (MD) | CMS NPPES Registry (10570) |
| Dr. Merker Pleasantville CMS Volume Rank | 75.00th Pct (2,161 CMS svcs; Z -0.098σ) | CMS Medicare Part B (NY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pleasantville, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 21 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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