Donna Merlo, PA
NPI 1609029388 · Surgical Physician Assistant · New Brunswick, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donna Merlo, PA is a Surgical Physician Assistant provider in New Brunswick, NJ (NPI 1609029388).
Provider details
- NPI number
- 1609029388
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00031900 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
83 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 Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 36 | $41 |
| Critical Care, First 30-74 Minutes99291 | 36 | $185 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 11 | $71 |
Typical Medicare-allowed amounts for these services range $41–$185 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$85 across 4 records (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
- 2008-10-28
- Last updated
- 2011-06-24
Frequently asked questions
- What is Donna Merlo's NPI number?
- Donna Merlo's National Provider Identifier (NPI) is 1609029388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donna Merlo's specialty?
- Donna Merlo is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Donna Merlo located?
- Donna Merlo's practice location on file with NPPES is 125 Paterson St, New Brunswick, NJ 08901-1962.
- What is Donna Merlo's phone number?
- The practice phone number listed in the NPPES registry for Donna Merlo is (732) 235-7806.
- Does Donna Merlo accept Medicare?
- Donna Merlo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donna Merlo's NPI active?
- Yes — Donna Merlo's NPI (1609029388) is active in the NPPES registry as of the last update on 2011-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.