Dr. Michael Mercado, DO
6200 W Parker Rd, Plano, TX 75093 • +1-339-555-2208
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Plano Percentiles
NPI #1053768259 • CBSA Regional • Family Practice
Operating out of Plano, TX (6200 W Parker Rd), Family Practice clinician Dr. Michael Mercado, DO (accredited MD/DO training, 1992) maintains a focused low-volume boutique caseload (21.05th Plano percentile) (23.46th TX percentile; Z-score -0.34σ across 950 documented services) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053768259 highlights 399 annual claims for 99214 (21.05th Plano percentile; $154–$212 self-pay corridor) plus 295 encounters under 99213 and 114 under G0439.
For out-of-network patients contacting +1-339-555-2208, Dr. Mercado's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.55/5 composite reality score over 18 submissions).
Clinical background for Dr. Mercado (DO, NPI #1053768259) includes accredited doctoral training (1992, 34 yrs in practice) and dedicated on-site consultations at 6200 W Parker Rd.
Compared against Plano, TX Family Practice peers
950 annual services across 324 beneficiaries
Standard deviations from TX 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 | 399 | 21.05th | $154 – $212 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 295 | 24.05th | $118 – $162 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 114 | 25.05th | $177 – $243 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 86 | 17.05th | $34 – $49 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 57 | 16.05th | $212 – $291 |
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Dr. Michael Mercado, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mercado National Provider Identifier | NPI #1053768259 (DO) | CMS NPPES Registry (75093) |
| Dr. Mercado Plano CMS Volume Rank | 21.05th Pct (950 CMS svcs; Z -0.340σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Plano, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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