Active NPI 1821244039 Individual Practitioner Male Practitioner

Dr. Edgar Antonio Mercado , MD

Internal Medicine • Augusta, GA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Mercado, MD is a certified Internal Medicine practicing in Augusta, GA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Mercado delivers high-quality medical care to the local community at 1120 15TH ST.

Dr. Mercado maintains professional affiliations with Hospitalist Medicine Physicians Of Ohio - Fairfield Professional Cor, Critical Care Physicians Of Illinois Llc, Sunergy Physicians Llc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 15th St
Af 2039

Augusta, GA 309120004

Telephone 7067216016

Associated Practice Facility / Clinic

🏢 American Transitional Hospitals, Inc. Facility NPI 1649276338

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Augusta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +6.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

345 Specialists

Practicing in Augusta, GA (4065 Statewide)

Telehealth Adoption Rate

5.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mercado (22 Years) 22 Yrs

Augusta Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	342	166	$649.46	$208.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	217	103	$212.76	$115.82
99239 Hospital discharge day management, more than 30 minutes	46	42	$217.52	$111.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	43	$414.00	$169.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	234	90	$701.00	$213.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	205	110	$281.03	$118.20
99239 Hospital discharge day management, more than 30 minutes	21	19	$216.78	$113.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$413.97	$172.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	269	115	$701.00	$217.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	137	91	$318.00	$101.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	285	122	$701.00	$223.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	140	106	$318.00	$103.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	401	160	$701.00	$228.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	228	134	$318.00	$105.67
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	18	$404.00	$90.43
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	18	18	$371.00	$153.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	136	62	$701.00	$228.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	53	$318.00	$105.73
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	12	$404.00	$89.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	294	117	$162.00	$71.04
99239 Hospital discharge day management, more than 30 minutes	68	67	$233.00	$104.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	30	$232.00	$101.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$438.00	$198.28
99217 Hospital observation care on day of discharge	20	20	$161.00	$71.09
99220 Hospital observation care, typically 70 minutes	16	16	$353.00	$181.79
99238 Hospital discharge day management, 30 minutes or less	14	14	$160.00	$70.93
99219 Hospital observation care, typically 50 minutes	12	12	$252.00	$133.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	440	168	$162.00	$69.55
99239 Hospital discharge day management, more than 30 minutes	94	91	$233.00	$102.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	76	$438.00	$193.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	50	$232.00	$99.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	16	$90.00	$38.15
99217 Hospital observation care on day of discharge	41	38	$161.00	$70.28
99225 Subsequent observation care, typically 25 minutes per day	25	18	$145.00	$70.64
99220 Hospital observation care, typically 70 minutes	22	22	$353.00	$180.14
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$218.00	$98.57
99219 Hospital observation care, typically 50 minutes	21	20	$252.00	$131.86
99238 Hospital discharge day management, 30 minutes or less	14	14	$160.00	$69.90

Medical Specialties & State Licenses

CMS Verified: 2024-06-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME135768

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Hospitalist Medicine Physicians Of Ohio - Fairfield Professional Cor

4000 Johnson Rd, Steubenville, OH 439522364

Phone: 7402648000

Sound Physicians Intensivists Of Georgia Pc

367 Clear Creek Pkwy, Lavonia, GA 305534173

Phone: 7063567800

Sunergy Physicians Llc

4820 5th Ave N, St Petersburg, FL 337137218

Phone: 7272805767

Sound Physicians Intensivists Of South Carolina Llc

302 University Pkwy, Aiken, SC 298016302

Phone: 8036415000

Critical Care Physicians Of Illinois Llc

3333 W Deyoung St, Marion, IL 629595884

Phone: 6189987000

Hospitalist Medicine Physicians Of Delaware, Pa

640 S State St, Dover, DE 199013530

Phone: 3026744700

Critical Care Physicians Of Pennsylvania Pc

1500 Lansdowne Ave, Darby, PA 190231200

Phone: 8662127753

Critical Care Physicians Of Illinois Llc

801 N State St, Greenfield, IN 461401270

Phone: 3174625544

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Christen Brooks , FNP-BC

Nurse Practitioner - Family

NPI 1225497134

Family Nurse Practitioner (Board Certified)

Valencia Hunt , FNP-C

Nurse Practitioner - Family

NPI 1851793327

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2024

Internal Medicine (License #ME135768 in FL)

✅

NPI Profile Active October 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2016

Registered at 1120 15TH ST, AF 2039, AUGUSTA, GA 309120004 (Tel: 7067216016)

📍

Updated Business Mailing Address October 06, 2016

Registered at 1120 15TH ST, AF 2039, AUGUSTA, GA 309120004 (Tel: 7067216016)

👤

Provider Name / Credentials Updated October 06, 2016

Recorded as EDGAR MERCADO, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2016

Internal Medicine (License #4301092751 in MI)

🟢

Initial NPI Registration & Enumeration August 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821244039

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 07, 2008

Last Update: June 20, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1120 15th St, Af 2039

Augusta, GA 309120004

Phone: 7067216016

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.