MERLYN J KAALLA (D.O.) – Family Medicine Physician, NPI 1316470594
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,117 FAMILY PRACTICE in GA
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Provider Addresses for MERLYN J KAALLA (D.O.)
Eisenhower Parkway, Macon, Bibb County, Georgia, 31206, United States
MACON, GA 31206
Phone: (478) 633-5550
Fax: (478) 633-7287
Type: Location
777 Hemlock St, MSC 165
The Medical Center, Navicent Health
Macon, GA 31201
Phone: (404) 422-7560
Type: Location
4250 Brownsville Rd
Powder Springs, GA 301272559
Phone: (678) 567-8000
Type: Location
3780 Eisenhower PKWY
Macon, GA 31206
Phone: (478) 633-5550
Fax: (478) 633-7287
Type: Location
4250 BROWNSVILLE RD
POWDER SPRINGS, GA 301272559
Phone: (678) 567-8000
Type: Mailing
4302 POND EDGE RD
SNELLVILLE, GA 300393971
Phone:
Type: Mailing
1765 PARKER RD SE STE B240
CONYERS, GA 300946673
Phone: (770) 602-2970
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $434.
Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($97).
Total Amount
$434
General + Research + Ownership
Payments
23
Total payment records
General Amount
$434
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $97 |
| Novo Nordisk Inc | $63 |
| Novartis Pharmaceuticals Corporation | $46 |
| ABBVIE INC. | $44 |
| Exact Sciences Corporation | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-02-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210202003210 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 35 | $0 |
| 82044 | Urine microalbumin (protein) analysis | 24 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 17 | 15 | $0 |
Insurance plans in this area (ZIP 31206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| Hospitalist, Internal Medicine | GA | |
| - | TN |
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