Physician

Taylor Grant Mertz, MD

According to 2025 Medicare claims, Taylor Mertz, MD (NPI: 1285926360) practices family practice in the Fargo, ND-MN market, with the plurality of this provider's patient population coming from Clay, MN. This provider's primary affiliated billing organization is INNOVIS HEALTH LLC (NPI: 1659617504; TIN: 261175213) and primary practice location at 56560-5055. Mertz is affiliated with the Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Mertz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 178 traditional Medicare patients, billed 557 HCPCS/CPT codes, and received $38,173 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,550 prescription claims across 379 beneficiaries totaling $544,660 in drug costs, led by Ozempic (Semaglutide). DME data shows 74 claims. Open Payments data shows 13 records totaling $33,682. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $8,498 to $38,173. Similarly, Part D prescription costs have moved sharply higher in recent years, from $32,009 to $544,660. For DME billing, reported payments rose steadily, from $1,580 to $13,178.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$22K$44K2015 Medicare payment: $8,498 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $14,139 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $16,843 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $21,552 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $32,129 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $30,595 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $43,531 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $35,384 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $35,984 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $38,173 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201595156$8,498
2016106242$14,139
2017111269$16,843
2018160321$21,552
2019182463$32,129
2020186451$30,595
2021215535$43,531
2022195475$35,384
2023198492$35,984
2024178557$38,173

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$272K$545K2015 Drug cost: $32,009 (USD; Tot_Drug_Cst)2016 Drug cost: $51,021 (USD; Tot_Drug_Cst)2017 Drug cost: $92,772 (USD; Tot_Drug_Cst)2018 Drug cost: $187,696 (USD; Tot_Drug_Cst)2019 Drug cost: $203,585 (USD; Tot_Drug_Cst)2020 Drug cost: $273,561 (USD; Tot_Drug_Cst)2021 Drug cost: $345,532 (USD; Tot_Drug_Cst)2022 Drug cost: $354,913 (USD; Tot_Drug_Cst)2023 Drug cost: $488,083 (USD; Tot_Drug_Cst)2024 Drug cost: $544,660 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201572495$32,009
2016107968$51,021
20171541,831$92,772
20182863,227$187,696
20193153,899$203,585
20203084,374$273,561
20213234,764$345,532
20223084,571$354,913
20233664,987$488,083
20243795,550$544,660

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.8K$5.6K2015 Medicare payment: $1,322 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,011 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,380 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,520 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,379 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,503 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,493 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $5,623 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $5,394 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R24$1,322
2016N/R22$1,011
2017N/RN/RN/R
20181278$3,380
20191172$1,520
2020N/R69$2,379
2021N/R84$2,503
2022N/R22$2,493
2023N/R93$5,623
2024N/R74$5,394

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit131131$126
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more159259$61
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1718$38
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's5674$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide903,276$101,214
JardianceEmpagliflozin935,322$94,209
EliquisApixaban562,674$50,227
Soliqua 100-33Insulin Glargine/Lixisenatide251,130$26,992
XareltoRivaroxaban331,456$26,650

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R12$2,541
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R12$891
A7030Full face mask used with positive airway pressure device, eachNN/R11$825
E1392Portable oxygen concentrator, rentalYN/R12$441
A4604Tubing with integrated heating element for use with positive airway pressure deviceNN/R12$402

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.13$33,682Takeda Pharmaceuticals U.S.A., Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Taylor Grant Mertz, MD?

Tedicare shows public-source Medicare data for Taylor Grant Mertz, MD (NPI 1285926360), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Taylor Grant Mertz, MD have ACO affiliation data?

Taylor Grant Mertz, MD is shown with ACO affiliation data for Essentia Health ACO, Inc. (MSSP, ACO ID A5617).

What billing organization is linked to Taylor Grant Mertz, MD?

Taylor Grant Mertz, MD is linked to INNOVIS HEALTH LLC (billing NPI 1659617504) in the available physician profile data.

Does Taylor Grant Mertz, MD have Open Payments data?

Taylor Grant Mertz, MD has 13 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.