Active NPI 1225006265 Individual Practitioner Male Practitioner

Dr. Kurt D Merkel , MD

Orthopaedic Surgery • Fenton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Kurt Merkel, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Fenton, MO. Practice services are available at 1011 BOWLES AVE under active NPI credentials.

Frequently performed procedures and clinical services include x-ray of knee, 3 views, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1011 Bowles Ave
Suite 400

Fenton, MO 630262395

Telephone 6366805400

Fax 6366805405

Associated Practice Facility / Clinic

🏢 Peter J Anderson, Md Pc Facility NPI 1568433639

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fenton, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Fenton, MO (550 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	80	59	$24.00	$9.55
20610 Aspiration and/or injection of fluid from large joint	69	48	$64.33	$56.67
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$66.10	$51.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	50	$90.47	$78.02
73502 X-ray of hip, 2-3 views	25	22	$30.00	$11.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$132.67	$105.64
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	20	20	$61.70	$52.52
27447 Replacement of knee joint, both sides of knee	19	19	$5090.53	$1442.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	857	69	$22.00	$1.60
20610 Aspiration and/or injection of fluid from large joint	289	170	$61.46	$53.70
73562 X-ray of knee, 3 views	287	204	$20.64	$9.65
99213 Established patient office or other outpatient visit, typically 15 minutes	269	189	$56.41	$50.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	189	$85.81	$78.53
73562 X-ray of knee, 3 views	114	79	$80.53	$34.91
20610 Aspiration and/or injection of fluid from large joint	105	72	$175.71	$69.84
99213 Established patient office or other outpatient visit, typically 15 minutes	98	76	$104.37	$72.82
73502 X-ray of hip, 2-3 views	92	84	$25.54	$11.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	59	$154.29	$108.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$146.08	$126.57
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	47	46	$58.00	$52.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	45	$126.09	$106.46
27447 Replacement of knee joint, both sides of knee	46	46	$4616.98	$1481.93
73502 X-ray of hip, 2-3 views	26	26	$79.23	$39.12
73030 X-ray of shoulder, minimum of 2 views	24	21	$21.67	$9.61
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$3832.83	$1393.53
73521 X-ray of both hips, 2 views	16	16	$25.00	$11.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$180.00	$169.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$232.50	$164.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,316	150	$22.00	$1.79
73562 X-ray of knee, 3 views	282	191	$80.57	$32.92
20610 Aspiration and/or injection of fluid from large joint	271	154	$168.82	$63.79
99213 Established patient office or other outpatient visit, typically 15 minutes	259	159	$101.00	$68.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	163	$148.00	$102.78
73502 X-ray of hip, 2-3 views	96	80	$81.00	$37.17
73562 X-ray of knee, 3 views	90	57	$20.00	$9.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	49	$84.00	$75.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$228.00	$157.73
27447 Replacement of knee joint, both sides of knee	41	40	$4570.61	$1461.78
20610 Aspiration and/or injection of fluid from large joint	39	34	$58.19	$51.77
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$55.00	$49.46
73030 X-ray of shoulder, minimum of 2 views	32	24	$70.00	$26.53
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	29	$59.79	$51.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$198.00	$138.56
73502 X-ray of hip, 2-3 views	19	19	$25.00	$10.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$141.00	$125.02
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$3770.00	$1309.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$282.00	$186.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,012	126	$22.00	$1.81
73562 X-ray of knee, 3 views	269	182	$80.00	$33.97
20610 Aspiration and/or injection of fluid from large joint	239	134	$169.77	$64.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	159	$148.00	$100.42
99213 Established patient office or other outpatient visit, typically 15 minutes	189	130	$101.00	$68.85
73562 X-ray of knee, 3 views	130	85	$20.00	$9.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	83	$85.85	$75.57
20610 Aspiration and/or injection of fluid from large joint	102	70	$61.35	$49.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$228.00	$154.93
73502 X-ray of hip, 2-3 views	81	66	$81.00	$38.40
99213 Established patient office or other outpatient visit, typically 15 minutes	61	54	$57.26	$48.08
73030 X-ray of shoulder, minimum of 2 views	43	30	$70.00	$27.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$147.21	$120.28
27447 Replacement of knee joint, both sides of knee	41	41	$4226.59	$1388.02
73502 X-ray of hip, 2-3 views	36	33	$25.00	$10.85
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	35	34	$96.63	$50.96
73030 X-ray of shoulder, minimum of 2 views	15	12	$20.00	$9.14
73522 X-ray of both hips, 3-4 views	14	14	$30.00	$14.62
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$3770.00	$1324.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$102.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$61.00	$41.26

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MO R3F06

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

203561519 (MO)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Clayton Perry , MD

Orthopaedic Surgery

NPI 1518938463

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2016

Registered at 1011 BOWLES AVE, SUITE 400, FENTON, MO 630262395 (Tel: 6366805400)

📍

Updated Business Mailing Address November 23, 2016

Registered at 1011 BOWLES AVE, SUITE 400, FENTON, MO 630262395 (Tel: 6366805400)

👤

Provider Name / Credentials Updated November 23, 2016

Recorded as KURT MERKEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2016

Orthopaedic Surgery (License #R3F06 in MO)

🟢

Initial NPI Registration & Enumeration March 08, 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: 1225006265

Entity Type:

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

Enumeration Date: March 08, 2006

Last Update: November 23, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1011 Bowles Ave, Suite 400

Fenton, MO 630262395

Phone: 6366805400

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.