DR. ANDREW L. MERRITT MD
NPI 1720278344
Orthopaedic Surgery in Renton, WA
NPI Status: Active since July 30, 2007
Contact Information
4011 TALBOT RD S
SUITE 300
RENTON, WA
ZIP 98055
Phone: (425) 656-5060
Fax: (425) 656-5047
- Individual
- Male
- Years of Experience 19
- Orthopaedic Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ANDREW MERRITT
This page provides the complete NPI Profile along with additional information for Andrew Merritt, a provider established in Renton, Washington with a medical specialization in Orthopaedic Surgery and more than 19 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1720278344 assigned on July 2007. The practitioner's primary taxonomy code is 207X00000X with license number MD60315456 (WA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1720278344
- Provider Name
- DR. ANDREW L. MERRITT MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4011 TALBOT RD S SUITE 300 RENTON, WA 98055
- Location Phone
- (425) 656-5060
- Location Fax
- (425) 656-5047
- Mailing Address
- 805 MADISON ST SUITE 901 SEATTLE, WA 98104
- Mailing Phone
- (206) 264-8100
- Medical School Name
- UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-30-2007
- Last Update Date
- 09-12-2013
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD60315456
- License State
- WA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrew Merritt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Andrew Merritt 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
PECOS PAC ID: 7719113257
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20131112000245
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hip replacement
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
Mri scan of leg joint without contrast
New patient office or other outpatient visit, 45-59 minutes
Removal of knee cartilage using an endoscope
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 3 views
X-ray of knee, 4 or more views
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 55 times for 43 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 20 times for 19 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 155 times for 142 patientsA hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
This service was performed for 44 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 413 times for 43 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 81 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 19 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 29 times for 26 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 20 times for 20 patientsThis procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.
This service was performed 11 times for 11 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 40 times for 37 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 22 times for 22 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 33 times for 28 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 45 times for 43 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 95 times for 78 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 84 times for 60 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.35 for a new patient copayment and $19.68 for an established patient copayment.
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 98055 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.43
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $24.35
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.74
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $19.68
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Merritt is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
VALLEY MEDICAL CENTER | 400 S 43RD ST RENTON, WA 98055 | (425) 228-3450 | Acute Care Hospitals |
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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 | 7 | 2 | 0 | 2 | 7 | 8 | 3 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 4 | 0 | 4 | 7 | 16 | 3 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 4 + 0 + 4 + 7 + 1 + 6 + 3 + 8 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1720278344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1528061694 | GUY V BUELL M.D. Individual | Specialist | 4011 TALBOT RD S STE 440 RENTON, WA 98055 (425) 251-3455 |
1285633255 | GREGORY K PARKER PA-C Individual | Physician Assistant (Surgical) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5050 |
1457346520 | DAVID M CHRISTOPHER MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S SUITE 220 RENTON, WA 98055 (425) 656-5300 |
1497740575 | MICHAEL R ANDERSON MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S #220 RENTON, WA 98055 (425) 656-5300 |
1447245519 | MONICA RICHTER MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S SUITE 220 RENTON, WA 98055 (425) 656-5300 |
1356336424 | GARY H GERMAN MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S RENTON, WA 98055 (425) 656-5300 |
1174518245 | GRACIELA DEL RIO MD Individual | Pediatrics (Adolescent Medicine) | 4011 TALBOT RD S RENTON, WA 98055 (425) 656-5300 |
1962473918 | DR. MICHAEL DOUGLAS ALLISON MD Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1942271994 | DR. CRAIG THOMAS ARNTZ MD Individual | Orthopaedic Surgery (Hand Surgery) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1831160886 | DR. BENJAMIN DANIEL CHILCZUK MD Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1972572469 | DR. FREDRICK S HUANG M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1154390318 | DR. JOHN M HENDRICKSON M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1114986320 | DR. MARK C REMINGTON M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1538129267 | DR. ROBERT G VEITH M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1134189855 | DR. JASON H THOMPSON M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1700843976 | DR. PAUL NORMAN JOOS M.D. Individual | Specialist | 4011 TALBOT RD S #210 RENTON, WA 98055 (425) 255-4250 |
1295793792 | DR. PETER GAYLORD JONES M.D. Individual | Specialist | 4011 TALBOT RD S #210 RENTON, WA 98055 (425) 255-4250 |
1548214984 | DR. SUSAN R. CERO M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1801840244 | DR. MARTIN S. TULLUS M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
1669428462 | DR. ROBERT H. CANCRO M.D. Individual | Orthopaedic Surgery | 4011 TALBOT RD S SUITE 300 RENTON, WA 98055 (425) 656-5060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720278344, enumerated in the NPI registry as an "individual" on July 30, 2007
The provider is located at 4011 Talbot Rd S Suite 300 Renton, Wa 98055 and the phone number is (425) 656-5060
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider has more than 19 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 2007.
The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. 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 $97.43 with an average copayment of $24.35 for new patient appointments. Established patients should expect a typical charge of $78.74 and an average copayment of 19.68. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hip replacement, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), Mri scan of leg joint without contrast, New patient office or other outpatient visit, 45-59 minutes, Removal of knee cartilage using an endoscope, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views and X-ray of knee, 4 or more views.
The practitioner is affiliated to the following hospital(s): VALLEY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 30, 2007. 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].
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