Active NPI 1245238534 Individual Practitioner Male Practitioner

Dr. Malik M Merchant , MD

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Malik Merchant, MD is a certified Internal Medicine practicing in Austin, TX. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Merchant delivers high-quality medical care to the local community at 12221 N MOPAC EXPY.

Dr. Merchant is affiliated with South Texas Hospitalist Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12221 N Mopac Expy

Austin, TX 787582401

Telephone 5129014009

Fax 5129013909

Associated Practice Facility / Clinic

🏢 Austin Pathology Associates Facility NPI 1669414330

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +13.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

620 Specialists

Practicing in Austin, TX (9538 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Merchant (34 Years) 34 Yrs

Austin Specialty Average (20.8 Years) 20.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	517	128	$202.00	$100.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	383	103	$141.00	$71.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	60	$393.00	$197.34
99239 Hospital discharge day management, more than 30 minutes	17	16	$205.00	$106.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$268.00	$134.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	673	191	$211.57	$106.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	633	164	$143.09	$73.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	89	$448.70	$203.57
99239 Hospital discharge day management, more than 30 minutes	57	57	$225.63	$105.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$268.00	$137.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,152	229	$141.00	$72.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	579	171	$202.00	$104.22
99239 Hospital discharge day management, more than 30 minutes	89	87	$205.00	$108.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	70	$393.00	$203.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$268.00	$137.74
99291 Critical care, first 30-74 minutes	18	16	$441.00	$223.43
99217 Hospital observation care on day of discharge	14	14	$140.00	$73.82
99220 Hospital observation care, typically 70 minutes	12	12	$304.00	$186.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,006	238	$125.92	$71.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	585	196	$179.47	$103.31
99239 Hospital discharge day management, more than 30 minutes	170	163	$177.62	$106.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	77	$395.15	$201.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	52	$240.42	$135.91
99291 Critical care, first 30-74 minutes	37	31	$448.88	$220.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	12	$78.00	$39.00
99220 Hospital observation care, typically 70 minutes	20	20	$356.32	$178.38
99217 Hospital observation care on day of discharge	16	16	$130.67	$72.80
99238 Hospital discharge day management, 30 minutes or less	11	11	$134.00	$73.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,030	299	$110.55	$70.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	451	187	$161.15	$102.45
99239 Hospital discharge day management, more than 30 minutes	215	199	$231.90	$105.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	93	$574.58	$196.17
99220 Hospital observation care, typically 70 minutes	55	54	$542.19	$180.76
99291 Critical care, first 30-74 minutes	41	38	$627.09	$213.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$140.08	$133.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	31	11	$69.78	$67.23
99217 Hospital observation care on day of discharge	26	25	$251.01	$68.07
99219 Hospital observation care, typically 50 minutes	19	19	$137.91	$128.69
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$635.00	$95.04
99238 Hospital discharge day management, 30 minutes or less	14	14	$102.65	$68.87

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M4352

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX M4352

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

188638404 (TX)

Medicaid State Provider ID

188638410 (TX)

Medicaid State Provider ID

188638408 (TX)

Medicaid State Provider ID

188638405 (TX)

Medicaid State Provider ID

188638402 (TX)

Medicaid State Provider ID

188638407 (TX)

Hospital & Practice Group Affiliations

South Texas Hospitalist Associates Llc

1025 Garner Field Rd, Uvalde, TX 788014809

Phone: 8302786251

Practice Associates & Co-Workers

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

28 Associated Practitioners

Dr. Paula Starche , MD

Internal Medicine

NPI 1033176607

Doctor of Medicine (M.D.)

Dr. Anjali Nemawarkar , MD

Internal Medicine

NPI 1093779555

Doctor of Medicine (M.D.)

Dr. Yolanda Clay-Po , MD

Internal Medicine

NPI 1164405833

Doctor of Medicine (M.D.)

Dr. Paul Stansberry , MD

Internal Medicine

NPI 1235196809

Doctor of Medicine (M.D.)

Nancy Dasso , FNP

Nurse Practitioner - Family

NPI 1245287150

Family Nurse Practitioner

Dr. William Lewis , DO

Internal Medicine

NPI 1265401350

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2021

Hospitalist (License #M4352 in TX)

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2017

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

📍

Updated Business Mailing Address April 03, 2017

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014479)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as MALIK MERCHANT, MD

🎓

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

Internal Medicine (License #M4352 in TX)

✅

NPI Profile Active November 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2015

Registered at 1401 MEDICAL PKWY, BLDG B #220, CEDAR PARK, TX 786137464 (Tel: 5123244083)

📍

Updated Business Mailing Address November 13, 2015

Registered at 3009 MIDWOOD LN, ROUND ROCK, TX 786813906 (Tel: 5123738156)

👤

Provider Name / Credentials Updated November 13, 2015

Recorded as MALIK MERCHANT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2015

Internal Medicine (License #M4352 in TX)

🟢

Initial NPI Registration & Enumeration July 11, 2005

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: 1245238534

Entity Type:

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

Enumeration Date: July 11, 2005

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12221 N Mopac Expy

Austin, TX 787582401

Phone: 5129014479

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.