Scott Mercer, MD
Family Medicine Physician · Encinitas, California
NPI: 1295736031
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Too few public reviews
$371
First visit · CPT 99204
$287
Follow-up · CPT 99214
Encinitas
California · 11 visit types priced
What You’d Pay
The negotiated rate is the whole bill for a visit with Dr. Mercer; there is no separate list price on top. How much of it lands on you depends on which of three situations your plan puts you in.
Visit
Deductible not met
Met, 20% coinsurance
Copay plan
First visit
New patient visit, 45–59 min · CPT: 99204
Follow-up
Follow-up visit, 30–39 min · CPT: 99214
Annual physical
Annual physical, age 40–64 · CPT: 99396
Usually $0: in-network preventive visits are covered in full. Add-ons or a problem discussed during the visit are billed separately.
Coinsurance is shown at 20%, the most common in-network share; yours may be 10–40%. Primary care copays typically run $20–$50. Out-of-network or non-UnitedHealthcare plans will differ.
Not every visit needs an office. The Momentary app is AI primary care with real doctors, $19.99 a month for unlimited visits, prescriptions, lab orders and referrals; less than one $287 follow-up here.
Get the Momentary appNegotiated Rates
A new patient visit (45–59 min, CPT 99204) with Dr. Mercer has a UnitedHealthcare negotiated rate of $371, 94% above the Encinitas median of $191. A routine follow-up (CPT 99214) is $287. These are the in-network prices UnitedHealthcare published for Dr. Mercer’s own NPI in February 2026; what you owe depends on your plan.
Office visits
Problem-focused appointments, priced by length and complexity. Most routine follow-ups bill as 99213 or 99214.
New patient$165–$487
15–29 min99202
82% above Encinitas median ($90)
$165
30–44 min99203
92% above Encinitas median ($130)
$250
45–59 min99204
94% above Encinitas median ($191)
$371
60–74 min99205
41% above California median ($346)
$487
Follow-up (established patient)$128–$403
10–19 min99212
97% above Encinitas median ($65)
$128
20–29 min99213
96% above Encinitas median ($104)
$204
plans $154–$204
30–39 min99214
95% above Encinitas median ($147)
$287
40–54 min99215
95% above Encinitas median ($207)
$403
Annual physicals and preventive visits
Wellness visits by age band. Covered in full in-network on almost all plans; the rate matters when a problem raised during the physical is billed as a separate visit.
New patient$175
65+99387
within 5% of California median ($175)
$175
Established patient$235–$281
Age 5–1199393
34% above California median ($176)
$235
Age 40–6499396
95% above Encinitas median ($144)
$281
In-office add-ons and telehealth
Billed on top of a visit, plus phone or portal visits.
Billed on top of a visit$7–$40
Blood draw (venipuncture)36415
$7
Vaccine administration, first vaccine90471
$38
Vaccine administration, each additional vaccine90472
$29
Electrocardiogram (ECG) with interpretation93000
$32
Therapeutic injection (intramuscular or subcutaneous)96372
$33
Rapid strep test87880
$40
Hospital and emergency rates
Contract codes that do not apply to an office visit, including hospital, emergency and consult work this doctor may never bill. Shown for completeness.
Hospital, emergency and consult codes$153–$466
Initial hospital care, moderate complexity99222
$291
Initial hospital care, high complexity99223
$429
Subsequent hospital care, moderate complexity99232
$154
Subsequent hospital care, high complexity99233
$221
Hospital discharge, 30 minutes or less99238
$156
Hospital discharge, more than 30 minutes99239
$229
Emergency department visit, low complexity99283
$153
Emergency department visit, moderate complexity99284
$258
Emergency department visit, high complexity99285
$374
Critical care, first 30–74 minutes99291
$466
Rates are the median across UnitedHealthcare’s plan files for this doctor and code; where plans pay different amounts the range is shown underneath. The comparison is against the median among doctors listed on this site in the same city (when at least three report the code), otherwise statewide. Position counts every listed doctor in the city, lowest rate first.
Patient Reviews
We could not find enough public reviews of Dr. Mercer to show a rating. We show ratings once a doctor has at least 5.
California Market
California family medicine physicians with a published rate for new patient visit (45–59 min), cheapest first, with their public rating alongside. The cheapest and most expensive are always included, plus those priced closest to Dr. Mercer.
Doctor
New patient visit, 45–59 min
Follow-up
Rating
Castro Valley4.4 (55)
$322
New patient visit, 45–59 min
$217
follow-up
4.4
55 reviews
Dr. Scott Mercer, MD this page
$371
New patient visit, 45–59 min
$287
follow-up
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About
Location
Address
320 SANTA FE DR
SUITE 205
Encinitas, CA 92024
Phone
(760) 944-8484Questions
- How much does a first visit with Dr. Mercer cost?
- Dr. Mercer's negotiated rate with UnitedHealthcare for a new patient office visit, moderate-complexity decision-making, 45–59 minutes is $371, 94% above the Encinitas median of $191. This is the total the insurer and patient pay together; if you have not met your deductible you may owe all of it, and with a copay plan you pay only the copay.
- How much is a follow-up visit with Dr. Mercer?
- An established patient office visit, moderate-complexity decision-making, 30–39 minutes is $287, 95% above the Encinitas median of $147. Most routine primary care follow-ups are billed as 99213 or 99214.
- Does Dr. Mercer accept UnitedHealthcare?
- These rates were published in UnitedHealthcare's in-network price transparency file in February 2026, which indicates Dr. Mercer was in at least one UnitedHealthcare network at that time. Networks change and vary by plan, so confirm with the office at (760) 944-8484 before booking.