2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1689066987 DO
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AVALON MERTENS, DO

Critical Care Medicine (Internal Medicine) Physician in SALEM, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
897
Medicare Part D claims · 164 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

AVALON MERTENS, DO filed 897 Medicare Part D claims in 2023 as a Critical Care Medicine (Internal Medicine) Physician in SALEM, Massachusetts, prescribing 34% generic.

897
Part D claims, 2023
34%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

AVALON MERTENS, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

897 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

AVALON MERTENS, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about AVALON MERTENS, DO?

Quality data not reported

NPI registry status

Active

Issued 02/23/2015

NPI 1689066987

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

897 16% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

Specialty distribution in Massachusetts

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Critical Care Medicine (Internal Medicine) Physician share within Massachusetts

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Critical Care Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Critical Care Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AVALON MERTENS, DO appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding DO credentials at 55 HIGHLAND AVE STE 104, SALEM, MA, 01970, with a listed phone of (978) 745-4489. NPI 1689066987 was issued on 02/23/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERTENS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 897 prescription claims written by this provider, covering 164 Medicare beneficiaries and totaling roughly $398K in drug spend, split 66% brand-name and 34% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

55 HIGHLAND AVE STE 104
SALEM, MA 01970

Provider Details

NPI 1689066987
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials DO
Gender Female
NPI Issued 02/23/2015

Hospital and facility affiliations

Facilities where AVALON MERTENS, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
SALEM, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to AVALON MERTENS, DO. To verify AVALON MERTENS, DO's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

AVALON MERTENS, DO — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 897 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

897
Total Claims
$398K
Total Drug Cost
164
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,122
Total Day Supply
31,224
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$380K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.57
Gender Split
70% female / 30% male
Age Distribution
<65: 18, 65-74: 63, 75-84: 62, 85+: 21

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What AVALON MERTENS, DO prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
113
Albuterol Sulfate Hfa
Albuterol Sulfate
92
Incruse Ellipta
Umeclidinium Bromide
77
Symbicort
Budesonide/Formoterol Fumarate
57
Prednisone
47
Fluticasone Propionate
45
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
44
Ventolin Hfa
Albuterol Sulfate
44
Arnuity Ellipta
Fluticasone Furoate
34
Breo Ellipta
Fluticasone/Vilanterol
31

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How AVALON MERTENS, DO fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

AVALON MERTENS, DO's 897 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as MERTENS.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AVALON MERTENS, DO's specialty?
AVALON MERTENS, DO specializes in Critical Care Medicine (Internal Medicine) Physician and practices in SALEM, Massachusetts. Credentials: DO.
How much does AVALON MERTENS, DO prescribe under Medicare Part D?
In 2023, AVALON MERTENS, DO wrote 897 Medicare Part D claims totaling $398K in drug costs for 164 beneficiaries.
Where is AVALON MERTENS, DO located?
AVALON MERTENS, DO is located at 55 HIGHLAND AVE STE 104, SALEM, MA, 01970. Phone: (978) 745-4489.
What is AVALON MERTENS, DO's NPI number?
AVALON MERTENS, DO's National Provider Identifier (NPI) is 1689066987, issued on 02/23/2015.
Does AVALON MERTENS, DO prescribe more brand-name or generic drugs?
AVALON MERTENS, DO's prescribing is 66% brand-name and 34% generic drugs by claim count, with $380K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does AVALON MERTENS, DO prescribe most often?
Based on 2023 Medicare Part D data, AVALON MERTENS, DO's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Incruse Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AVALON MERTENS, DO accept Medicare?
AVALON MERTENS, DO appears in CMS Medicare data with 897 Part D claims and 164 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AVALON MERTENS, DO's credentials?
AVALON MERTENS, DO's NPI is 1689066987 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology