Active NPI 1154376572 Individual Practitioner Female Practitioner

Dr. Zarina I Merchant , MD

Pediatrics • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Zarina Merchant, MD is a certified Pediatrics practicing in Chicago, IL. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Merchant delivers high-quality medical care to the local community at 2655 W PETERSON AVE.

Dr. Merchant does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services for two or more chronic conditions, first, residence visit for established patient with high level of medical decision making, per day, if using time, at least, physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2655 W Peterson Ave

Chicago, IL 606594017

Telephone 7732718880

Fax 7732717435

Associated Practice Facility / Clinic

🏢 Access Community Health Network Facility NPI 1790864304

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +33.6 yrs vs City Avg

City Avg: 16.4 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

1180 Specialists

Practicing in Chicago, IL (3277 Statewide)

Telehealth Adoption Rate

0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Merchant (50 Years) 50 Yrs

Chicago Specialty Average (16.4 Years) 16.4 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
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	545	132	$110.00	$87.37
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	484	134	$220.00	$190.23
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	264	94	$130.00	$107.74
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	60	58	$350.00	$277.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$150.00	$131.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	20	$50.00	$42.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	23	$65.00	$54.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	617	187	$220.00	$194.20
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	448	119	$130.00	$108.05
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	426	147	$110.00	$88.29
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	102	69	$160.00	$133.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	72	47	$65.00	$54.07
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	55	37	$50.00	$43.23
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	17	17	$350.00	$282.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	474	158	$110.04	$91.31
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	384	201	$220.00	$188.28
99443 Telephone medical discussion with physician, 21-30 minutes	258	168	$145.00	$138.56
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	238	101	$130.00	$111.94
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	99	77	$160.00	$135.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	27	$65.00	$56.67
99442 Telephone medical discussion with physician, 11-20 minutes	24	20	$125.00	$97.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	16	$50.00	$43.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	307	177	$145.00	$140.42
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	175	101	$111.60	$87.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	106	$150.00	$139.78
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	118	54	$130.00	$113.08
99442 Telephone medical discussion with physician, 11-20 minutes	87	81	$125.00	$99.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$250.00	$195.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$235.00	$236.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	31	$200.00	$76.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	28	$251.42	$113.43
82962 Blood glucose (sugar) test performed by hand-held instrument	23	12	$30.00	$3.21
36415 Insertion of needle into vein for collection of blood sample	14	11	$39.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	36	$250.00	$113.22
99213 Established patient office or other outpatient visit, typically 15 minutes	96	38	$200.33	$77.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$232.00	$121.54

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 74869

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

5 Associated Practitioners

Vukosava Mandic , MS, OTR, L

Occupational Therapist

NPI 1073256418

Master of Science, Occupational Therapist Registered, L

Carla Mae Haverland , PT

Physical Therapist

NPI 1184899072

Physical Therapist

Dr. Rory Weiss , DDS

Dentist - General Practice

NPI 1538282835

Doctor of Dental Surgery

David John Nulud , PTA

Physical Therapy Assistant

NPI 1629711908

Physical Therapist Assistant

Dr. Jerry Brooks , DDS

Dentist - General Practice

NPI 1669592259

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2014

Registered at 2655 W PETERSON AVE, CHICAGO, IL 606594017 (Tel: 7732718880)

📍

Updated Business Mailing Address June 03, 2014

Registered at 2551 W PETERSON AVE, CHICAGO, IL 606594019 (Tel: 7737473900)

👤

Provider Name / Credentials Updated June 03, 2014

Recorded as ZARINA MERCHANT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2014

Pediatrics (License #74869 in MA)

🟢

Initial NPI Registration & Enumeration May 24, 2006

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: 1154376572

Entity Type:

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

Enumeration Date: May 24, 2006

Last Update: June 03, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2551 W Peterson Ave

Chicago, IL 606594019

Phone: 7737473900

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.