Active NPI 1093893232 Individual Practitioner Male Practitioner

Dr. Alex M Mercado , MD

Internal Medicine • Flanders, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alex Mercado, MD is a certified Internal Medicine practicing in Flanders, NJ. With approximately 33 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1993, Dr. Mercado delivers high-quality medical care to the local community at 191 US HIGHWAY 206.

Dr. Mercado is affiliated with Primary Care Partners Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

191 Us Highway 206

Flanders, NJ 078369002

Telephone 9735840045

Fax 9735840094

Associated Practice Facility / Clinic

🏢 Rand Dental Associates, P.a. Facility NPI 1316094345

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Flanders, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Flanders, NJ (4957 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mercado (33 Years) 33 Yrs

Flanders Specialty Average (33.0 Years) 33.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	455	206	$331.58	$139.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	315	75	$152.00	$80.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$296.00	$141.70
99213 Established patient office or other outpatient visit, typically 15 minutes	130	85	$206.00	$99.12
G0008 Administration of influenza virus vaccine	99	99	$68.00	$35.50
90662 Influenza vaccine split virus, preservative free	98	98	$140.86	$81.82
99306 Initial nursing facility visit, typically 45 minutes per day	93	76	$360.00	$194.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	69	14	$96.00	$43.29
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	66	65	$36.00	$17.55
36415 Insertion of needle into vein for collection of blood sample	56	24	$15.59	$8.65
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	25	25	$636.00	$289.51
G0009 Administration of pneumococcal vaccine	23	23	$68.00	$35.50
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$43.95	$15.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$376.00	$182.62

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	432	203	$289.00	$140.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	304	59	$152.00	$80.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	130	$296.00	$142.20
99213 Established patient office or other outpatient visit, typically 15 minutes	119	76	$206.00	$96.85
G0008 Administration of influenza virus vaccine	113	112	$68.00	$33.97
90662 Influenza vaccine split virus, preservative free	108	106	$130.00	$71.87
99306 Initial nursing facility visit, typically 45 minutes per day	71	60	$360.00	$196.20
G0009 Administration of pneumococcal vaccine	60	60	$68.00	$33.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	57	13	$96.00	$43.05
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	53	53	$636.00	$281.89
36415 Insertion of needle into vein for collection of blood sample	51	24	$15.00	$8.40
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$33.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$376.00	$182.63
82270 Stool analysis for blood to screen for colon tumors	14	14	$10.00	$4.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$266.00	$130.80

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	414	193	$273.58	$141.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	353	65	$152.36	$75.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$283.73	$146.17
99213 Established patient office or other outpatient visit, typically 15 minutes	124	80	$190.76	$101.28
G0008 Administration of influenza virus vaccine	102	101	$67.32	$33.71
90662 Influenza vaccine split virus, preservative free	95	95	$130.00	$68.54
99306 Initial nursing facility visit, typically 45 minutes per day	74	66	$362.27	$178.17
36415 Insertion of needle into vein for collection of blood sample	64	25	$15.00	$2.96
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	60	15	$96.85	$47.41
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$36.10	$16.28
82270 Stool analysis for blood to screen for colon tumors	22	22	$10.00	$4.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$371.88	$186.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$250.77	$131.42
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$186.23	$98.45
G0009 Administration of pneumococcal vaccine	12	12	$62.25	$33.86

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	397	180	$242.03	$143.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	267	56	$152.96	$76.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	114	114	$262.63	$149.10
99213 Established patient office or other outpatient visit, typically 15 minutes	111	77	$164.00	$101.82
G0008 Administration of influenza virus vaccine	102	101	$45.00	$19.53
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	90	27	$94.00	$45.84
90662 Influenza vaccine split virus, preservative free	86	85	$98.00	$65.21
99306 Initial nursing facility visit, typically 45 minutes per day	68	57	$365.91	$181.87
36415 Insertion of needle into vein for collection of blood sample	58	26	$15.00	$3.00
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	53	12	$99.00	$48.32
93000 Routine ekg using at least 12 leads including interpretation and report	34	32	$38.85	$16.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$365.00	$188.21
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	18	17	$141.00	$69.08
90682 Influenza vaccine, quadrivalent derived from recombinant dna	17	17	$93.00	$65.26
G0009 Administration of pneumococcal vaccine	11	11	$45.00	$19.44
82270 Stool analysis for blood to screen for colon tumors	11	11	$10.00	$4.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$279.22	$124.83

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	341	165	$241.00	$120.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	233	56	$153.00	$77.92
99213 Established patient office or other outpatient visit, typically 15 minutes	147	91	$164.00	$84.59
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	138	34	$99.00	$49.10
G0008 Administration of influenza virus vaccine	95	93	$45.00	$19.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	90	14	$99.00	$49.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	85	85	$262.00	$132.26
99306 Initial nursing facility visit, typically 45 minutes per day	68	58	$366.00	$186.34
36415 Insertion of needle into vein for collection of blood sample	66	30	$15.00	$2.98
90662 Influenza vaccine split virus, preservative free	65	63	$98.00	$60.61
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$39.00	$19.71
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	19	19	$141.00	$71.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$200.00	$117.26
G0009 Administration of pneumococcal vaccine	18	18	$45.00	$18.92
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$59.00	$19.58
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$152.43	$85.47
90682 Influenza vaccine, quadrivalent derived from recombinant dna	14	14	$93.00	$60.98
82270 Stool analysis for blood to screen for colon tumors	12	12	$10.00	$4.35

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	414	177	$241.00	$119.60
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	367	70	$99.00	$48.27
99213 Established patient office or other outpatient visit, typically 15 minutes	189	102	$164.00	$82.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	165	77	$153.00	$75.66
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	109	17	$99.00	$48.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$262.00	$130.38
36415 Insertion of needle into vein for collection of blood sample	98	41	$15.00	$2.94
99306 Initial nursing facility visit, typically 45 minutes per day	91	85	$366.00	$182.10
G0008 Administration of influenza virus vaccine	81	79	$45.00	$18.67
90662 Influenza vaccine split virus, preservative free	64	62	$98.00	$54.81
93000 Routine ekg using at least 12 leads including interpretation and report	59	55	$39.00	$19.34
G0009 Administration of pneumococcal vaccine	39	39	$45.00	$18.67
82270 Stool analysis for blood to screen for colon tumors	24	24	$10.00	$4.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$200.00	$110.49
90670 Pneumococcal vaccine for injection into muscle	20	20	$310.00	$208.52
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$93.00	$54.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$365.00	$182.52
99497 Advance care planning, first 30 minutes	13	13	$180.00	$88.00

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	501	204	$241.00	$118.15
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	278	50	$99.00	$48.53
99213 Established patient office or other outpatient visit, typically 15 minutes	213	117	$164.00	$79.69
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	139	15	$99.00	$48.60
36415 Insertion of needle into vein for collection of blood sample	126	49	$15.00	$2.94
G0008 Administration of influenza virus vaccine	100	100	$45.00	$23.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	99	41	$153.00	$75.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$262.00	$129.59
90662 Influenza vaccine split virus, preservative free	95	95	$98.00	$52.30
99306 Initial nursing facility visit, typically 45 minutes per day	73	55	$366.00	$180.69
93000 Routine ekg using at least 12 leads including interpretation and report	64	63	$39.00	$19.13
G0009 Administration of pneumococcal vaccine	44	44	$45.00	$23.23
82270 Stool analysis for blood to screen for colon tumors	39	39	$10.00	$4.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$200.00	$105.59
99497 Advance care planning, first 30 minutes	25	25	$180.00	$91.47
90670 Pneumococcal vaccine for injection into muscle	22	22	$310.00	$200.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$365.00	$180.75
81002 Urinalysis, manual test	19	16	$7.00	$3.41

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	485	197	$239.04	$117.54
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	260	43	$98.10	$48.50
99213 Established patient office or other outpatient visit, typically 15 minutes	213	120	$162.64	$79.01
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	169	19	$98.34	$48.53
36415 Insertion of needle into vein for collection of blood sample	137	53	$15.00	$2.94
G0008 Administration of influenza virus vaccine	113	112	$45.00	$29.01
90662 Influenza vaccine split virus, preservative free	106	105	$89.04	$47.93
G0009 Administration of pneumococcal vaccine	70	66	$45.00	$29.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$259.30	$128.27
93000 Routine ekg using at least 12 leads including interpretation and report	61	58	$40.77	$19.15
90670 Pneumococcal vaccine for injection into muscle	60	57	$310.00	$184.63
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	55	16	$120.82	$59.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	22	$152.81	$75.12
99306 Initial nursing facility visit, typically 45 minutes per day	48	42	$362.56	$180.21
82270 Stool analysis for blood to screen for colon tumors	29	29	$10.00	$4.37
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	22	19	$120.64	$59.79

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA63545

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6961908 (NJ)

Hospital & Practice Group Affiliations

Primary Care Partners Llc

191 Us Hwy 206 5, Flanders, NJ 078369002

Phone: 9735840045

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Jacob Fleischman , DMD

Dentist - Endodontics

NPI 1598891947

Doctor of Dental Medicine

Dr. Henry Neumann , DDS, MSCD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1619096062

Doctor of Dental Surgery, MSCD

Dr. Richard Lombardo , DDS

Dentist

NPI 1811109630

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 03, 2017

Registered at PO BOX 95000, PHILADELPHIA, PA 191957550 (Tel: 8443621735)

📍

Updated Practice Location April 03, 2017

Registered at 191 US HIGHWAY 206, FLANDERS, NJ 078369002 (Tel: 9735840045)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as ALEX MERCADO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Internal Medicine (License #25MA63545 in NJ)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 191 US HIGHWAY 206, FLANDERS, NJ 078369002 (Tel: 9735840045)

📍

Updated Business Mailing Address July 08, 2007

Registered at 191 US HIGHWAY 206, FLANDERS, NJ 078369002 (Tel: 9735840045)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ALEX MERCADO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #25MA63545 in NJ)

🟢

Initial NPI Registration & Enumeration November 02, 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: 1093893232

Entity Type:

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

Enumeration Date: November 02, 2006

Last Update: April 03, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 95000

Philadelphia, PA 191957550

Phone: 8443621735

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.