ANDREA MERNITZ (MD) – Family Medicine Physician, NPI 1962460964
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for ANDREA MERNITZ (MD)
4001 W GOELLER BLVD STE A
COLUMBUS, IN 472018309
Phone: (812) 375-3330
Fax: (812) 375-3329
Type: Mailing
PO BOX 775383
CHICAGO, IL 606775383
Phone: (812) 376-5315
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 168 Open Payments records for all available years, with a total value of $2,908.
Total Amount is formed as General ($2,908) + Research ($0) + Ownership ($0) = $2,908.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($372).
Total Amount
$2,908
General + Research + Ownership
Payments
168
Total payment records
General Amount
$2,908
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $372 |
| Lilly USA, LLC | $356 |
| Supernus Pharmaceuticals, Inc. | $340 |
| Novo Nordisk Inc | $274 |
| AstraZeneca Pharmaceuticals LP | $172 |
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: 2010-03-03
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20100303000903 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 207 | 156 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 91 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 148 | 148 | $0 |
| 83036 | Hemoglobin a1c level | 105 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 73 | $0 |
Insurance plans in this area (ZIP 47201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| Physician Assistant | IN | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| Family Practice | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IN |
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