THOMAS JAMES MERTZ MD
NPI 1659337137
Urology in Roseville, MI
NPI Status: Active since April 25, 2006
Contact Information
18325 E 10 MILE RD
SUITE 200
ROSEVILLE, MI
ZIP 48066
Phone: (586) 773-6300
Fax: (586) 773-6266
- Individual
- Male
- Urology
- Accepts Insurance
- PECOS Enrolled
About THOMAS MERTZ
This page provides the complete NPI Profile along with additional information for Thomas Mertz, a provider established in Roseville, Michigan with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1659337137 assigned on April 2006. The practitioner's primary taxonomy code is 208800000X with license number 4301035307 (MI). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1659337137
- Provider Name
- THOMAS JAMES MERTZ MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 18325 E 10 MILE RD SUITE 200 ROSEVILLE, MI 48066
- Location Phone
- (586) 773-6300
- Location Fax
- (586) 773-6266
- Mailing Address
- 18325 E 10 MILE RD SUITE 200 ROSEVILLE, MI 48066
- Mailing Phone
- (586) 773-6300
- Mailing Fax
- (586) 773-6266
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-25-2006
- Last Update Date
- 11-05-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301035307
- License State
- MI
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Thomas Mertz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF008N)
Intermittent urinary catheter, with insertion supplies (HCPCS:A4353)
1 DME suppliers used 12 Medicare Claims 660 Services Paid
DME-Orthotic Devices (DF010N)
Skin barrier; solid, 4 x 4 or equivalent; each (HCPCS:A4362)
1 DME suppliers used 12 Medicare Claims 240 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each (HCPCS:A4391)
1 DME suppliers used 12 Medicare Claims 140 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48066 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for THOMAS JAMES MERTZ MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 3 | 3 | 7 | 1 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 6 | 3 | 14 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 6 + 3 + 1 + 4 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1659337137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184680662 | TODD GARRISON CAMPBELL MD Individual | Urology | 18325 E 10 MILE RD SUITE 200 ROSEVILLE, MI 48066 (586) 773-6300 |
| 1588601975 | DR. VESNA LUCIYA ROI D.O. Individual | Pediatrics | 18325 E 10 MILE RD STE. 100 ROSEVILLE, MI 48066 (586) 776-1010 |
| 1699711127 | DR. CHERYL ANN SOBOCINSKI M.D. Individual | Pediatrics | 18325 E 10 MILE RD SUITE 100 ROSEVILLE, MI 48066 (586) 776-1010 |
| 1215115829 | EASTLAKE PEDIATRICS PC Organization | Pediatrics | 18325 E 10 MILE RD SUITE 100 ROSEVILLE, MI 48066 (586) 776-1010 |
| 1760643076 | KESHINUDAN INC. Organization | Pharmacy (Community/Retail Pharmacy) | 18325 E 10 MILE RD ROSEVILLE, MI 48066 (586) 445-7744 |
| 1740246156 | NORMA FAYE LOWERY NP Individual | Nurse Practitioner | 18325 E 10 MILE RD SUITE 200 ROSEVILLE, MI 48066 (586) 773-6300 |
| 1558300699 | DR. MELINDA ELIZABETH KARAM M.D. Individual | Pediatrics | 18325 E 10 MILE RD SUITE 100 ROSEVILLE, MI 48066 (586) 776-1010 |
| 1992960249 | DR. PHILIP JOSEPH SHALHOUB M.D. Individual | Urology | 18325 E 10 MILE RD SUITE 200 ROSEVILLE, MI 48066 (586) 773-6300 |
| 1194736736 | GROSS POINTE UROLOGIC SURGEONS Organization | Non-Pharmacy Dispensing Site | 18325 E 10 MILE RD STE 200 ROSEVILLE, MI 48066 (586) 773-6300 |
| 1811285489 | DEEPALI JAIN MD Individual | Internal Medicine | 18325 E 10 MILE RD ROSEVILLE, MI 48066 (586) 447-4000 |
| 1336631282 | DR. VALERIE ANN EFROS MD Individual | Family Medicine | 18325 E 10 MILE RD ROSEVILLE, MI 48066 (586) 447-4000 |
| 1336141977 | NARAYANAN VIKRAMAN MD Individual | Internal Medicine (Cardiovascular Disease) | 18325 E 10 MILE RD SUITE 400 ROSEVILLE, MI 48066 (586) 775-4594 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659337137, enumerated in the NPI registry as an "individual" on April 25, 2006
The provider is located at 18325 E 10 Mile Rd Suite 200 Roseville, Mi 48066 and the phone number is (586) 773-6300
The provider's speciality is Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.28 with an average copayment of $33.57 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.