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MAREK MARIAN GAWEL MD
NPI 1003879875
Internal Medicine in Binghamton, NY

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
161 RIVERSIDE DRIVE, SUITE 306, BINGHAMTON, NY 13905(607) 798-6700(607) 798-6745 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marek Marian Gawel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAREK MARIAN GAWEL MD (NPI 1003879875) is an individual internal medicine provider in Binghamton, New York, licensed in New York (233322) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1003879875
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAREK MARIAN GAWELCredential: MD
Location Address161 RIVERSIDE DRIVE, SUITE 306Binghamton, NY 13905
Mailing Address161 Riverside Drive, Suite 306Binghamton, NY 13905 · (607) 798-6700 · Fax (607) 798-6745
Phone(607) 798-6700
Fax(607) 798-6745
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1003879875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 233322
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
161 RIVERSIDE DRIVE, Binghamton, NY 13905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marek Marian Gawel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274503990
PECOS Enrollment IDI20040729001062
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
295 services177 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
131 services112 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
127 services127 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services72 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
59 services58 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
20 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers29 claims71 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims18 services$1.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOME GASTROENTEROLOGY ASSOC, PC
Internal Medicine (Gastroenterology)
161 RIVERSIDE DRIVE, SUITE 102
BINGHAMTON, NY 13905
Broome County (607) 729-1444
MS. ELIZABETH SCHLITZ HULL NP
Nurse Practitioner
161 RIVERSIDE DRIVE, SUITE 302
BINGHAMTON, NY 13905
Broome County (607) 798-1842
ARMANDO BERNABE MATA MD
Plastic Surgery
161 RIVERSIDE DRIVE, SUITE 106
BINGHAMTON, NY 13905
Broome County (607) 729-0101
JUDITH ABIEYUWA MUNSON FNP
Nurse Practitioner (Family)
161 RIVERSIDE DRIVE, SUITE M08
BINGHAMTON, NY 13905
Broome County (607) 763-8205
DR. IHSAN U KHAN MD
Internal Medicine (Pulmonary Disease)
161 RIVERSIDE DRIVE, SUITE 305
BINGHAMTON, NY 13905
Broome County (607) 798-5442
DR. STEVEN R HASSIG M.D.
Internal Medicine (Gastroenterology)
161 RIVERSIDE DRIVE, SUITE 102
BINGHAMTON, NY 13905
Broome County (607) 729-1444
CASSANDRA LYNN CARNEVALE AGNP
Nurse Practitioner (Adult Health)
161 RIVERSIDE DRIVE
BINGHAMTON, NY 13905
Broome County (607) 760-7664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marek Gawel's NPI number?

The NPI number for Marek Gawel is 1003879875. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Marek Gawel located?

Marek Gawel practices at 161 Riverside Drive Suite 306, Binghamton, NY 13905. The listed phone number is (607) 798-6700.

What is Marek Gawel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marek Gawel enrolled in Medicare?

Yes. Marek Gawel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marek Gawel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marek Gawel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marek Gawel affiliated with any hospitals?

According to CMS data, Marek Gawel is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Marek Gawel was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.