DR. JEFFREY MERKLE (MD) – Internal Medicine Physician, NPI 1295721165

DR. JEFFREY MERKLE (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA07799200 (NJ). The NPI Number for DR. JEFFREY MERKLE (MD) is 1295721165

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY MERKLE (MD)
NPI
1295721165
Phone
(844) 362-1735
Address
PO BOX 95000 LB# 7550
Enumeration Date
26 September 2005
Last Update Date
12 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9739715000
Graduation Year
2000 (26 years ago)
PAC ID
3577518182
Group Practice PAC ID
2860665809
Professional Enrollment ID
I20050316000907
Address ID
NJ079606459MO475XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

626 PEDIATRIC MEDICINE in NJ

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Provider Addresses for DR. JEFFREY MERKLE (MD)

  • PO BOX 95000 LB# 7550

    PHILADELPHIA, PA 191957550

    Phone: (844) 362-1735

    Fax: (973) 290-7495

    Type: Mailing

  • Mountain Avenue, Hackettstown, Warren County, New Jersey, 07840, United States

    SUITE 304

    HACKETTSTOWN, NJ 078402413

    Phone: (908) 852-6400

    Fax: (908) 852-6450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,316.

Total Amount is formed as General ($1,316) + Research ($0) + Ownership ($0) = $1,316.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: PFIZER INC. ($321).

Total Amount

$1,316

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050316000907IInternal MedicineNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes200119$0
99213Established patient office or other outpatient visit, 20-29 minutes7565$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6969$0
G0008Administration of influenza virus vaccine4444$0
90662Influenza vaccine split virus, preservative free4040$0
View full utilization report →

Insurance plans in this area (ZIP 19195)

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Provider's Procedures

DR. JEFFREY MERKLE (MD) performs procedures in PEDIATRIC MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINENJ81002Urinalysis, manual test1411
INTERNAL MEDICINENJ90670Pneumococcal vaccine for injection into muscle1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860665809View full group profile

Reviews

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Frequently asked questions

Is DR. JEFFREY MERKLE (MD) listed with a National Provider Identifier?
Yes — DR. JEFFREY MERKLE (MD) has NPI 1295721165 on file in the registry.
Active or inactive — what applies to DR. JEFFREY MERKLE (MD)?
You should see DR. JEFFREY MERKLE (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JEFFREY MERKLE (MD)?
DR. JEFFREY MERKLE (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JEFFREY MERKLE (MD) located near Philadelphia?
DR. JEFFREY MERKLE (MD) currently maps to Philadelphia, Pennsylvania in this extract.
Does DR. JEFFREY MERKLE (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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