Doctor Profile
Avalon C. Mertens
SUITE 104
Salem, MA 01970
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💳 Check Plan Coverage 📞 Call Office 🗺️ Get Directions 🏛️ Verify on Medicare.govReviewed by: Wes Ward, Founder & Data Lead • View our methodology
Important: We are not affiliated with Medicare, CMS, or Avalon C. Mertens's practice. This page displays publicly available CMS data to help you research Medicare providers. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE.
Medicare Plans That Cover Dr. Mertens
See which plans Dr. Mertens accepts
We're pulling plan acceptance data directly from insurance carrier provider directories. Until that feed is live for Massachusetts, the fastest way to find a Medicare plan that covers Dr. Mertens is to compare every Medicare Advantage and Part D plan available near 01970, MA — the Pulmonary Disease's office can quickly confirm which of the top local plans they accept.
Compare Medicare Plans near 01970, MA →Or call the office at (978) 745-4489 to confirm acceptance directly.
What Dr. Mertens Does
Dr. Mertens served 779 Medicare patients across 988 services in the latest CMS reporting year. That's 41% above the average Pulmonary Disease in Massachusetts (554 patients across 364 doctors).
| Procedure | Services | Medicare Patients |
|---|---|---|
| Critical care, first 30-74 minutes (99291) | 206 | 107 |
| Established patient office or other outpatient visit, 40-54 minutes (99215) | 172 | 105 |
| New patient office or other outpatient visit, 60-74 minutes (99205) | 93 | 93 |
| Test to examine how well the lungs exchange gases (94729) | 90 | 89 |
| Test to determine lung volumes using sensors (94726) | 87 | 86 |
How to read this: "Services" are the total times Dr. Mertens billed Medicare for each procedure in the latest reporting year. "Patients" counts unique Medicare beneficiaries. Procedures are shown in plain English; the underlying HCPCS codes are available on request.
Hospital Affiliations
Dr. Mertens is affiliated with 2 hospitals according to CMS Physician Compare. Below are the 2 hospitals with full quality profiles on our site. Hospital network status depends on your Medicare Advantage plan — always verify before enrolling.
Massachusetts General Hospital
North Shore Medical Center -
Practice Location & Telehealth Readiness
Dr. Mertens practices at the address below. If you're evaluating Medicare coverage, location matters for in-network access and — when Dr. Mertens offers telehealth — broadband availability at your home matters for virtual visits.
Address: 55 HIGHLAND AVE, SUITE 104, Salem, MA 01970
Phone: (978) 745-4489
Practice Accessibility
Average commute time in this zip · 66% of residents drive to work. Practical context for patients deciding whether to make the trip. See the full neighborhood profile at BestNeighborhood.org.
Telehealth Readiness
Households with fiber broadband — important for reliable virtual visits. Check your address at ISPReports.org.
Other Pulmonology Doctors near 01970, MA
If Dr. Mertens isn't accepting new patients or isn't in your plan's network, these are the closest pulmonology doctors near 01970, MA:
| Doctor | Specialty | Medicare Patients / yr | Distance |
|---|---|---|---|
| Sameer C. Shah | Pulmonary Disease | 794 | <1 mi |
| Daniel Dustin | Pulmonary Disease | — | <1 mi |
| Timothy W. Roedder | Pulmonary Disease | 803 | <1 mi |
| Ashish Koirala | Pulmonary Disease | 1.0K | <1 mi |
| Richard Kahn | Pulmonary Disease | 708 | <1 mi |
How to Use This Information
Choosing a Medicare plan that covers Dr. Mertens takes three steps:
- Verify network status. Medicare Advantage plans each have their own provider networks. The same doctor may be in-network for one plan and out-of-network for another. Compare all Medicare plans near 01970, MA →
- Confirm directly with the office. Call Dr. Mertens's office at (978) 745-4489 to verify they're accepting new patients and which plans they currently accept. Use our printable question list →
- Check enrollment windows. You can only switch Medicare plans during specific periods. Missing a deadline can cost you a year of coverage. Review enrollment dates →
Avalon C. Mertens: Common Questions
Does Dr. Mertens accept Medicare?
Where is Dr. Mertens's office?
What Medicare plans does Dr. Mertens accept?
Does Dr. Mertens offer telehealth visits?
How experienced is Dr. Mertens?
How do I know if Dr. Mertens is in-network for my Medicare plan?
About the Reviewer
Wes Ward
Founder & Data Lead
Wes Ward reviews all doctor profiles and methodology for data accuracy. Every Medicare provider page on this site — including the utilization statistics, hospital affiliations, and geocoded practice address — goes through his data-validation pipeline before publication. We display only publicly available CMS data; you never need to enter personal information to see any of it.
With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to healthcare transparency. He is also a co-founder of BestNeighborhood.org (neighborhood data), CrimeGrade.org (block-level safety analytics), and ISPReports.org (broadband availability for telehealth). Those sister sites power the location and telehealth-readiness context on this page.
View full profile → • LinkedIn
Data sources: CMS NPPES (2026), CMS Medicare Provider Utilization & Payment Data (2023), CMS Physician Compare, CrimeGrade.org, BestNeighborhood.org, ISPReports.org. This page is for informational purposes only. Always verify coverage directly with the plan and practice. Read our full methodology → • Privacy policy
Medicare Resources
Choosing the right Medicare plan involves more than just doctor coverage. These guides help you evaluate the full picture:
How to Choose a Medicare Plan
In-depth guide to plan types, Star Ratings, drug tiers, and costs.
Enrollment Checklist
Printable step-by-step guide to gather your info and enroll.
Enrollment Dates & Deadlines
Key periods, timelines, and penalty calculations.
Questions for Your Doctor
Printable list to discuss Medicare with Dr. Mertens or any physician.
Medicare Glossary
Definitions for 40+ complex Medicare terms.
Our Methodology
Learn how we source and verify CMS data for accuracy.