MARK RICHARD GACEK M.D.
NPI 1073517769
Otolaryngology in Mobile, AL

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
84.81/100
CMS Quality Rating
720 HILLCREST RD STE A, MOBILE, AL 36695(251) 340-7970(866) 873-8411 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2022, Sep 10, 2021 (2 updates tracked since 2021).

About Mark Richard Gacek M.d. NPPES

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

MARK RICHARD GACEK M.D. (NPI 1073517769) is an individual otolaryngology provider in Mobile, Alabama, licensed in Alabama (0002107) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1073517769
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK RICHARD GACEKCredential: M.D.
Location Address720 HILLCREST RD STE AMobile, AL 36695-3904
Mailing Address4721 Morrison Dr Ste 400Mobile, AL 36609-3350 · (251) 340-6947 · Fax (251) 340-7971
Fax(866) 873-8411
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 9, 2005
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1073517769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 0002107
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

720 HILLCREST RD STE A, Mobile, AL 36695

Secondary Practice Locations 2

Location 1300 West JacksonSummerdale, AL 36580 · Phone (251) 346-7970
Location 2100 Memorial Hospital Dr, GLW Annex Building, Ste. 3CMobile, AL 36608-1183 · Phone (251) 340-7970 · Fax (251) 340-7971

Other Identifiers 2

Other51134625AL · Bc Al
Medicaid148969AL

Accepted 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

Mark Richard Gacek M.d. 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 ID143346452
PECOS Enrollment IDI20100923001260
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 14

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,112 services106 patients
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.
603 services331 patients
Incision of fluid canal of inner ear with infusion of drugs 69801
This procedure involves making a small cut in the inner ear's fluid canal. Medication is then infused directly into this area. It's often used to treat certain ear conditions or hearing issues. Rest assured, it's done under professional supervision.
531 services103 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.
307 services197 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
259 services166 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
208 services154 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36695 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

84.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.63
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
47%723 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
50%1,342 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
80%7,676 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
60%970 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%2,208 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%5,181 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 73% · 1,512 patients
Patients screened: 74% · 1,512 patients
97%97 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 1,022 patients
Patients totalRate: 10% · 1,022 patients
7%1,022 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Otolaryngology
720 HILLCREST RD STE A
MOBILE, AL 36695

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 Mark Gacek's NPI number?

The NPI number for Mark Gacek is 1073517769. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Mark Gacek located?

Mark Gacek practices at 720 Hillcrest Rd Ste A, Mobile, AL 36695. The listed phone number is (251) 340-7970.

What is Mark Gacek's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Gacek enrolled in Medicare?

Yes. Mark Gacek 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 Mark Gacek accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Mark Gacek 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.

When was this NPI record last updated?

The NPPES record for Mark Gacek was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.