Rachel Merton
NPI 1730571530 · Gerontology Nurse Practitioner · Burlington, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachel Merton is a Gerontology Nurse Practitioner provider in Burlington, MA (NPI 1730571530).
Provider details
- NPI number
- 1730571530
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN1036847 (DC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
364 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 203 | $59 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 90 | $87 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 35 | $73 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $119 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 11 | $53 |
Typical Medicare-allowed amounts for these services range $53–$119 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 |
|---|---|---|
| Tizanidine Hcl | 49 | 36 |
| Methocarbamol | 32 | 27 |
| Cyclobenzaprine Hcl | 22 | 15 |
| Mupirocin | 20 | 20 |
| Methylprednisolone | 16 | 16 |
| Oxycodone Hcl | 15 | 12 |
| Gabapentin | 14 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 1160 Varnum St NeSuite 312Washington, DC 20017-2107Phone: (202) 534-4400Fax: (202) 534-4412
Registry dates
- Enumerated
- 2015-03-03
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Frequently asked questions
- What is Rachel Merton's NPI number?
- Rachel Merton's National Provider Identifier (NPI) is 1730571530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachel Merton's specialty?
- Rachel Merton is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rachel Merton located?
- Rachel Merton's practice location on file with NPPES is 41 Mall Rd, Burlington, MA 01805-2107.
- What is Rachel Merton's phone number?
- The practice phone number listed in the NPPES registry for Rachel Merton is (781) 744-8000.
- Does Rachel Merton accept Medicare?
- Rachel Merton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachel Merton's NPI active?
- Yes — Rachel Merton's NPI (1730571530) is active in the NPPES registry as of the last update on 2022-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.