Michael Mercado, DO
NPI 1053768259 · Family Medicine Physician · Plano, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Mercado, DO is a Family Medicine Physician provider in Plano, TX (NPI 1053768259).
Provider details
- NPI number
- 1053768259
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- S6688 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
934 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 426 | $74 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 172 | $109 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 165 | $113 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 111 | $164 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 31 | $77 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 29 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 48 | 14 |
| Cefdinir | 36 | 36 |
| Furosemide | 29 | 16 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 24 | 13 |
| Metoprolol Tartrate | 24 | — |
| Amlodipine Besylate | 21 | 11 |
| Atorvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$73 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-17
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Frequently asked questions
- What is Michael Mercado's NPI number?
- Michael Mercado's National Provider Identifier (NPI) is 1053768259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Mercado's specialty?
- Michael Mercado is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Mercado located?
- Michael Mercado's practice location on file with NPPES is 6200 W Parker Rd, Plano, TX 75093-8185.
- What is Michael Mercado's phone number?
- The practice phone number listed in the NPPES registry for Michael Mercado is (972) 981-3225.
- Does Michael Mercado accept Medicare?
- Michael Mercado is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Mercado's NPI active?
- Yes — Michael Mercado's NPI (1053768259) is active in the NPPES registry as of the last update on 2021-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.