Active NPI 1366855009 Individual Practitioner Male Practitioner

Dr. Chetan Merchant , MD

Surgery • Troy, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chetan Merchant, MD is a certified Surgery practicing in Troy, PA. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Merchant delivers high-quality medical care to the local community at 285 GUTHRIE DR.

Dr. Merchant is affiliated with Guthrie Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual at high risk, biopsy of large bowel 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

285 Guthrie Dr

Troy, PA 169478115

Telephone 5702974104

Fax 5702972066

Associated Practice Facility / Clinic

🏢 Guthrie Medical Group, P.c. Facility NPI 1376592493

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Troy, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Troy, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Merchant (20 Years) 20 Yrs

Troy Specialty Average (20.0 Years) 20.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$433.83	$156.03
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	36	36	$1370.66	$166.56
45380 Biopsy of large bowel using an endoscope	33	33	$1794.00	$146.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$631.38	$90.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$1824.15	$238.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$291.50	$122.09
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$197.80	$86.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$139.91	$53.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$1345.45	$169.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$291.17	$106.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$412.50	$162.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$279.33	$119.49
45380 Biopsy of large bowel using an endoscope	38	38	$1712.00	$145.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	36	$1722.61	$246.03
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$1289.41	$178.90
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$191.39	$86.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$674.88	$101.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$278.58	$109.02
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1290.50	$172.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$379.25	$159.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$242.42	$124.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$250.33	$108.83
45380 Biopsy of large bowel using an endoscope	25	25	$1670.00	$166.65
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$164.27	$88.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$292.17	$130.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1693.00	$247.10
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$1259.00	$170.75
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1259.00	$178.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$365.00	$164.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$241.00	$109.95
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$153.00	$89.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$225.00	$122.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$150.00	$70.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$286.00	$132.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	14	$66.00	$21.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$153.00	$73.62
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$212.00	$101.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$241.00	$105.80

Medical Specialties & State Licenses

CMS Verified: 2021-03-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD468851

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Guthrie Medical Group Pc

134 Homer Ave, Cortland, NY 130451206

Phone: 6077563500

Guthrie Medical Group Pc

285 Guthrie Dr, Troy, PA 169478115

Phone: 5702974104

Secondary Practice Locations

1650 Selwyn Ave Dept Of, Bronx Lebanon Hospital

Bronx, NY 104577626

Phone: 7189601216

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Kari Wood , MD

Family Medicine

NPI 1093843906

Doctor of Medicine (M.D.)

Madelyn Horn

Nurse Practitioner

NPI 1194548958

Jessica Mcwhorter , FNP-BC

Nurse Practitioner - Family

NPI 1427663954

Family Nurse Practitioner (Board Certified)

Dr. Navin Kumar Subrayappa , MD

Internal Medicine - Cardiovascular Disease

NPI 1639403447

Doctor of Medicine (M.D.)

Dr. Kristine Tofts , DO

Family Medicine

NPI 1669769907

Doctor of Osteopathic Medicine (D.O.)

Dr. Vance Good , MD

Internal Medicine

NPI 1710946686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location March 10, 2021

Registered at 285 GUTHRIE DR, TROY, PA 169478115 (Tel: 5702974104)

📍

Updated Business Mailing Address March 10, 2021

Registered at 285 GUTHRIE DR, TROY, PA 169478115 (Tel: 5702974104)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2021

Surgery (License #MD468851 in PA)

✅

NPI Profile Active June 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 10, 2014

Registered at 1650 SELWYN AVE DEPT OF, BRONX LEBANON HOSPITAL, BRONX, NY 104577626 (Tel: 7189601216)

📍

Updated Business Mailing Address June 10, 2014

Registered at 1650 SELWYN AVE DEPT OF, BRONX LEBANON HOSPITAL, BRONX, NY 104577626 (Tel: 7189601216)

👤

Provider Name / Credentials Updated June 10, 2014

Recorded as CHETAN MERCHANT, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 10, 2014

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: 1366855009

Entity Type:

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

Enumeration Date: June 10, 2014

Last Update: March 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

285 Guthrie Dr

Troy, PA 169478115

Phone: 5702974104

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.