2026 NPPES data Family Medicine Physician NPI 1437534864 D.O.
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Mark Merritt, D.O.

Family Medicine Physician in Midlothian, Virginia. 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
174
Medicare Part D claims · 107 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
62.1/100
▼ 21 pts below national avg 83.1 · [object Object]

What the federal data shows

Mark Merritt, D.O. reported a CMS MIPS final score of 62.1/100 — below the 83.1 national average — and filed 174 Medicare Part D claims in 2023.

62.1/100
MIPS score · -21 vs avg
174
Part D claims, 2023
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.

Mark Merritt, D.O.'s MIPS score vs every scored U.S. clinician

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

62 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

Board certification likely (heuristic — not verified)

Mark Merritt, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 Mark Merritt, D.O.?

Below national average

NPI registry status

Active

Issued 07/27/2015

NPI 1437534864

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

174 95% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

62.1/100 21 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Medicare quality performance — MIPS

Mark Merritt, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
62.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 62.1/100 vs national avg 83.1

0%100%National avg83%62.1%
MIPS final score (Family Medicine Physician) — 62.1/100 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).

Mark Merritt, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 32 SPINNAKER COVE DR, Midlothian, VA, 23112, with a listed phone of (804) 893-1921. NPI 1437534864 was issued on 07/27/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Merritt 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 174 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $4K in drug spend. 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 62.1/100 for the 2023 performance year (Quality 72.4, Cost 84.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

32 SPINNAKER COVE DR
Midlothian, VA 23112

Provider Details

NPI 1437534864
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 07/27/2015

CMS Quality Score (MIPS)

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

62.1316
Final Score
Avg: 83.1
72.4397
Quality
84.6656
Cost
0
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

174
Total Claims
$4K
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
304
Total Day Supply
7,029
Generic Drug Cost
$2K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
0.89
Gender Split
54% female / 46% male
Age Distribution
<65: 17, 65-74: 56, 75-84: 34, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Doxycycline Hyclate
12
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11

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

Family Medicine Physician Overview

How Mark Merritt, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Mark Merritt, D.O.'s 174 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Mark Merritt, D.O.'s specialty?
Mark Merritt, D.O. specializes in Family Medicine Physician and practices in Midlothian, Virginia. Credentials: D.O..
How much does Mark Merritt, D.O. prescribe under Medicare Part D?
In 2023, Mark Merritt, D.O. wrote 174 Medicare Part D claims totaling $4K in drug costs for 107 beneficiaries.
What is Mark Merritt, D.O.'s Medicare quality score?
Mark Merritt, D.O. has a CMS MIPS Final Score of 62.1/100 (Quality: 72.4, Cost: 84.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Merritt, D.O. located?
Mark Merritt, D.O. is located at 32 SPINNAKER COVE DR, Midlothian, VA, 23112. Phone: (804) 893-1921.
What is Mark Merritt, D.O.'s NPI number?
Mark Merritt, D.O.'s National Provider Identifier (NPI) is 1437534864, issued on 07/27/2015.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Mark Merritt, D.O. prescribe most often?
Based on 2023 Medicare Part D data, Mark Merritt, D.O.'s most frequently prescribed drugs include Doxycycline Hyclate, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Merritt, D.O. accept Medicare?
Mark Merritt, D.O. appears in CMS Medicare data with 174 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Merritt, D.O.'s credentials?
Mark Merritt, D.O.'s NPI is 1437534864 with credentials D.O.. 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