Active NPI 1104873181 Individual Practitioner Male Practitioner

Dr. Stephen Merola , MD

Surgery • Flushing, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Merola, MD is a certified Surgery practicing in Flushing, NY. With approximately 31 years of clinical experience since graduating from Icahn School Of Medicine At Mount Sinai in 1995, Dr. Merola delivers high-quality medical care to the local community at 5645 MAIN ST.

Dr. Merola is affiliated with New York Queens Medicine And Surgery, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5645 Main St

Flushing, NY 113555045

Telephone 7184450220

Fax 7189391167

Associated Practice Facility / Clinic

🏢 Booth Medical Associates Pc Facility NPI 1912996703

Medicare Profile & Education

Medical School

Icahn School Of Medicine At Mount Sinai

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Flushing, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +3.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

44 Specialists

Practicing in Flushing, NY (2269 Statewide)

Telehealth Adoption Rate

2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Merola (31 Years) 31 Yrs

Flushing Specialty Average (27.3 Years) 27.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$482.00	$132.42
99213 Established patient office or other outpatient visit, typically 15 minutes	47	34	$390.00	$104.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$718.00	$196.19
49650 Repair of groin hernia using an endoscope	16	16	$1969.00	$612.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	36	$277.00	$105.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$422.00	$133.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$635.00	$192.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$422.00	$139.18
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$277.00	$106.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$635.00	$195.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$273.00	$84.83
49650 Repair of groin hernia using an endoscope	12	12	$1796.00	$665.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$422.00	$138.59
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$277.00	$111.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$273.00	$80.29
49505 Repair of groin hernia (5 years or older)	12	11	$2186.00	$717.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$635.00	$206.13
47562 Removal of gallbladder using an endoscope	12	12	$2771.00	$908.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$422.00	$130.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	22	$273.00	$85.35
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$277.00	$90.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$422.00	$125.66
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$277.00	$86.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	26	$273.00	$84.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$170.00	$53.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$635.00	$194.05
49650 Repair of groin hernia using an endoscope	11	11	$1796.00	$676.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$422.00	$127.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	52	$273.00	$80.91
99213 Established patient office or other outpatient visit, typically 15 minutes	51	42	$277.00	$84.95
47562 Removal of gallbladder using an endoscope	11	11	$2771.00	$763.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$422.00	$125.76
99213 Established patient office or other outpatient visit, typically 15 minutes	74	50	$277.00	$84.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	31	$273.00	$82.23
49505 Repair of groin hernia (5 years or older)	12	12	$2186.00	$631.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$522.00	$157.41
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$288.00	$87.24

Medical Specialties & State Licenses

CMS Verified: 2024-05-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 205298

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00187444 (NY)

Hospital & Practice Group Affiliations

New York Queens Medicine And Surgery, P.c.

5645 Main St, Flushing, NY 113555045

Phone: 7186702000

Practice Associates & Co-Workers

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

39 Associated Practitioners

Ronald Combs , PA

Physician Assistant - Surgical

NPI 1003861196

Physician Assistant

Dr. Frederic Weinbaum , MD

Surgery

NPI 1023065430

Doctor of Medicine (M.D.)

Dr. Steven Chao , MD

Surgery

NPI 1033370028

Doctor of Medicine (M.D.)

Dr. Christopher Foglia , MD

Colon & Rectal Surgery

NPI 1063433738

Doctor of Medicine (M.D.)

Dr. Li Tong Du , MD

Surgery

NPI 1073705588

Doctor of Medicine (M.D.)

Dr. Rafael Fazylov , MD

Surgery

NPI 1124181029

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 October 19, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2010

Registered at 5645 MAIN ST, FLUSHING, NY 113555045 (Tel: 7184450220)

📍

Updated Business Mailing Address October 19, 2010

Registered at 5645 MAIN ST, FLUSHING, NY 113555045 (Tel: 7184450220)

👤

Provider Name / Credentials Updated October 19, 2010

Recorded as STEPHEN MEROLA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2010

Surgery (License #205298 in NY)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1104873181

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: May 09, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5645 Main St

Flushing, NY 113555045

Phone: 7184450220

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.