NPPES file of Aug 9, 2026

Craig A. Merrill, M.D.

Ophthalmology Physician · Pismo Beach, CA

Craig A. Merrill, M.D. is an ophthalmology physician with a practice address in Pismo Beach, California, and NPI 1528060746, issued on Jun 1, 2005. Check the license (California G81899, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1528060746
Name
Craig A. Merrill
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
G81899 CA
Self-reported in NPPES; status is on the state search
Practice location
931 Oak Park Blvd, Pismo Beach, CA 93449
Phone
(805) 473-6640
Enumerated
Jun 1, 2005
Record last updated
Mar 30, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(805) 473-5873
Medicare enrollment
Enrolled (PECOS I20050125000705); accepts Medicare assignment
Medical or professional school
Medical University Of South Carolina College Of Medicine, 1991
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 931 Oak Park Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Cary Fitchmun, MDFamily Medicine Physician1982614616
  2. Roger Guthrie, MDFamily Medicine Physician1598775215
  3. Ernest Jones, MDFamily Medicine Physician1891705661
  4. Guy JonesGeneral Practice Dentistry1265531727
  5. David Ruiz, MDFamily Medicine Physician1003826884
  6. Dewey Sandberg, MDFamily Medicine Physician1386654028

Verify Craig A. Merrill in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license G81899
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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87% more Medicare Part D claims than the average ophthalmology physician in 2024

2,841 Medicare Part D claims for 564 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 37% of claims.

  1. Craig Merrill2,841
  2. Specialty average1,518

Most prescribed

  1. Latanoprost871 claims
  2. Dorzolamide-Timolol319 claims
  3. Brimonidine Tartrate197 claims
  4. Timolol Maleate152 claims
  5. Ofloxacin106 claims
  6. Prednisolone Acetate104 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 95.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%85.4
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $32.95

1 payment: food and beverage; the largest payer was Abbvie Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Craig Merrill$32.95
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Pacific Eye Surgeons A California Professional Medical CorporationPismo Beach, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Craig A. Merrill among 2,899 ophthalmology physician records in California

Craig A. Merrill, M.D. is one of 2,899 ophthalmology physician records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 91% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated1991 · median 2001 among the 1,907 with a school on file
  • Record last updated2016 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 ophthalmology physician records list a practice address in Pismo Beach

They are 4 of the 240 NPPES records with a practice address in Pismo Beach, and 2,899 ophthalmology physician records in California.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Janet Chen, M.D,Pismo Beach, CA 934491366404469
  2. Terry Kaiura, M.D.Pismo Beach, CA 934491619924933
  3. Sharon Theodore, M.D.Pismo Beach, CA 934491831145739
  4. Ahmad Amir, M.D.Santa Maria, CA 934541851393086
  5. Stephen Bylsma, M.D.Santa Maria, CA 934541265435325
  6. John Cotter, MDSanta Maria, CA 934541124021746
  7. Andrew Goldstein, MDSanta Maria, CA 934541841812575
  8. Randall Goodman, MDSanta Maria, CA 934541891788436

Common questions

What is Craig A. Merrill, M.D.'s NPI number?

Craig A. Merrill, M.D.'s National Provider Identifier (NPI) is 1528060746, issued on Jun 1, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Craig A. Merrill, M.D. located?

The NPPES record lists a practice address at 931 Oak Park Blvd, Pismo Beach, CA, 93449. Phone: (805) 473-6640. Providers update this record themselves, so call before visiting.

How can I verify Craig A. Merrill, M.D.'s license?

NPPES lists California license number G81899, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Craig A. Merrill, M.D. prescribe under Medicare Part D?

In 2024, Craig A. Merrill, M.D. had 2,841 Medicare Part D claims for 564 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Craig A. Merrill, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.