Doctor profile · Federal record
Dr. Avalon Mertens, DO
Student in an Organized Health Care Education/Training Program (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Pulmonary Disease Physician · Salem, MA
- NPI 1689066987
- Accepts Medicare
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
55 Highland Ave Ste 104
Salem, MA 019702100
(978) 745-4489
fax (978) 741-3131
Credentials & registration
- NPI registered
- February 2015 — 11 yrs on file
- Profile last updated
- September 21, 2022
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 390200000X — NUCC code
- State license (1)
- Massachusetts #292646
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689066987. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
988
Distinct HCPCS
10
Medicare allowed
$122,974
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 206 | 107 | $213 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 172 | 105 | $183 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 93 | 93 | $224 | |
94729 |
Test to examine how well the lungs exchange gases | 90 | 89 | $9 | |
94726 |
Test to determine lung volumes using sensors | 87 | 86 | $12 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 77 | 76 | $10 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 72 | 49 | $120 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 50 | 46 | $131 | |
94010 |
Test to measure expiratory airflow and volume | 27 | 27 | $28 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | 25 | $175 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 73. This provider delivers 14× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
698
Patients
194
Total drug cost
$295,570
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 113 | 29 | $85,477 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 92 | 35 | $3,118 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 77 | 12 | $28,062 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 57 | 17 | $26,705 |
| Prednisone | Generic | 47 | 24 | $313 |
| Fluticasone Propionate | Generic | 45 | 26 | $712 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 44 | 15 | $24,923 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 44 | 12 | $3,444 |
| Arnuity Ellipta (Fluticasone Furoate) | Brand | 34 | 12 | $7,850 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 31 | 0 | $13,989 |
Hospital affiliations
Frequently asked questions
What is Dr. Avalon Mertens's medical specialty?
Dr. Avalon Mertens practices Student in an Organized Health Care Education/Training Program in Salem, MA.
Where does Dr. Avalon Mertens practice?
Dr. Avalon Mertens practices at 55 Highland Ave Ste 104, Salem, MA 019702100. Office phone: 9787454489.
What is Dr. Avalon Mertens's NPI?
Dr. Avalon Mertens's National Provider Identifier (NPI) is 1689066987, issued by NPPES.
Does Dr. Avalon Mertens accept Medicare assignment?
Yes. Dr. Avalon Mertens accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Avalon Mertens commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Established patient office or other outpatient visit (HCPCS 99215); New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.