Scott Merriman, M.D.
NPI 1578959524 · Pulmonary Disease Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Merriman, M.D. is a Pulmonary Disease Physician provider in Milwaukee, WI (NPI 1578959524).
Provider details
- NPI number
- 1578959524
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 82560 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
65 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 27 | $202 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 20 | $75 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 18 | $123 |
Typical Medicare-allowed amounts for these services range $75–$202 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 60 | 21 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 31 | — |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 19 | 11 |
| Montelukast Sodium | 16 | — |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 15 | — |
| Fluticasone Propion/Salmeterolbrand: Wixela Inhub | 12 |
Practice location
Mailing address
Additional practice locations (1)
- 9200 W Wisconsin AvenueCritical Care MedicineMilwaukee, WI 53226-3522Phone: (414) 955-7040Fax: (414) 955-0175
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2023-08-31
- Certified
- 2023-08-30
Frequently asked questions
- What is Scott Merriman's NPI number?
- Scott Merriman's National Provider Identifier (NPI) is 1578959524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Merriman's specialty?
- Scott Merriman is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Merriman located?
- Scott Merriman's practice location on file with NPPES is 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522.
- What is Scott Merriman's phone number?
- The practice phone number listed in the NPPES registry for Scott Merriman is (414) 955-7040.
- Does Scott Merriman accept Medicare?
- Scott Merriman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Merriman's NPI active?
- Yes — Scott Merriman's NPI (1578959524) is active in the NPPES registry as of the last update on 2023-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.