2026 NPPES data Gerontology Nurse Practitioner NPI 1861966533 AGACNP-BC
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ETHAN MERKEL, AGACNP-BC

Gerontology Nurse Practitioner in JASPER, Indiana. 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
485
Medicare Part D claims · 121 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
35%
generic claims · 65% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.5907/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$680.01
39 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ETHAN MERKEL, AGACNP-BC reported a CMS MIPS final score of 85.5907/100 — above the 83.1 national average — and filed 485 Medicare Part D claims in 2023.

85.5907/100
MIPS score · +2 vs avg
485
Part D claims, 2023
35%
generic prescribing
$680.01
industry payments (Sunshine Act)

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.

ETHAN MERKEL, AGACNP-BC's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

86 49th percentile higher than 49% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about ETHAN MERKEL, AGACNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 01/16/2019

NPI 1861966533

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

485 62% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

85.5907/100 2.490700000000004% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Indiana

How Gerontology Nurse Practitioner compares to other specialties among Indiana providers

Indiana providers

Gerontology Nurse Practitioner share within Indiana

1. Gerontology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Nurse Practitioner share within Indiana

Medicare quality performance — MIPS

ETHAN MERKEL, AGACNP-BC's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
85.5907/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 85.5907/100 vs national avg 83.1

0%100%National avg83%85.6%
MIPS final score (Gerontology Nurse Practitioner) — 85.5907/100 vs national avg 83.1

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).

ETHAN MERKEL, AGACNP-BC appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding AGACNP-BC credentials at 721 W 13TH ST STE 221, JASPER, IN, 47546, with a listed phone of (812) 996-0564. NPI 1861966533 was issued on 01/16/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERKEL 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 485 prescription claims written by this provider, covering 121 Medicare beneficiaries and totaling roughly $222K in drug spend, split 65% brand-name and 35% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.5907/100 for the 2023 performance year (Quality 82.9633, Cost 69.0056), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

721 W 13TH ST STE 221
JASPER, IN 47546

Provider Details

NPI 1861966533
Specialty Gerontology Nurse Practitioner
Credentials AGACNP-BC
Gender Male
NPI Issued 01/16/2019

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.5907
Final Score
Avg: 83.1
82.9633
Quality
69.0056
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ETHAN MERKEL, AGACNP-BC 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.

DEACONESS MEMORIAL MEDICAL CENTER INC
HOLLAND, IN
DEACONESS SPECIALTY PHYSICIANS, INC
JASPER, IN

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ETHAN MERKEL, AGACNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$680

Largest payer

GlaxoSmithKline, LLC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

ETHAN MERKEL, AGACNP-BC — brand share 65.0%
Specialty average (est.)

65% brand-name claims vs 35% generic, on 485 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.

485
Total Claims
$222K
Total Drug Cost
121
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
571
Total Day Supply
16,311
Brand vs Generic
65% brand / 35% generic
Brand Drug Cost
$217K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.49
Gender Split
64% female / 36% male
Age Distribution
<65: 39, 65-74: 45, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What ETHAN MERKEL, AGACNP-BC 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
Albuterol Sulfate Hfa
Albuterol Sulfate
93
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
92
Symbicort
Budesonide/Formoterol Fumarate
46
Montelukast Sodium
33
Breo Ellipta
Fluticasone/Vilanterol
32
Fluticasone Propionate
32
Roflumilast
21
Ropinirole Hcl
17
Zolpidem Tartrate
11

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

Gerontology Nurse Practitioner Overview

How ETHAN MERKEL, AGACNP-BC fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

ETHAN MERKEL, AGACNP-BC's 485 claims are below the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Indiana

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

Compare Gerontology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is ETHAN MERKEL, AGACNP-BC's specialty?
ETHAN MERKEL, AGACNP-BC specializes in Gerontology Nurse Practitioner and practices in JASPER, Indiana. Credentials: AGACNP-BC.
How much does ETHAN MERKEL, AGACNP-BC prescribe under Medicare Part D?
In 2023, ETHAN MERKEL, AGACNP-BC wrote 485 Medicare Part D claims totaling $222K in drug costs for 121 beneficiaries.
What is ETHAN MERKEL, AGACNP-BC's Medicare quality score?
ETHAN MERKEL, AGACNP-BC has a CMS MIPS Final Score of 85.5907/100 (Quality: 82.9633, Cost: 69.0056). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ETHAN MERKEL, AGACNP-BC located?
ETHAN MERKEL, AGACNP-BC is located at 721 W 13TH ST STE 221, JASPER, IN, 47546. Phone: (812) 996-0564.
What is ETHAN MERKEL, AGACNP-BC's NPI number?
ETHAN MERKEL, AGACNP-BC's National Provider Identifier (NPI) is 1861966533, issued on 01/16/2019.
Does ETHAN MERKEL, AGACNP-BC prescribe more brand-name or generic drugs?
ETHAN MERKEL, AGACNP-BC's prescribing is 65% brand-name and 35% generic drugs by claim count, with $217K in brand drug costs.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does ETHAN MERKEL, AGACNP-BC prescribe most often?
Based on 2023 Medicare Part D data, ETHAN MERKEL, AGACNP-BC's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ETHAN MERKEL, AGACNP-BC accept Medicare?
ETHAN MERKEL, AGACNP-BC appears in CMS Medicare data with 485 Part D claims and 121 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ETHAN MERKEL, AGACNP-BC's credentials?
ETHAN MERKEL, AGACNP-BC's NPI is 1861966533 with credentials AGACNP-BC. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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