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

Q: 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.

Q: What is Mark Gacek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Gacek was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: October 18, 2026.

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

On this page

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

Phone(251) 340-7970

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Gacek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gacek Ear And Sinus Center LLC

Same address

Otolaryngology

720 HILLCREST RD STE A
Mobile, AL 36695

Reassigned Medicare billing, Alabama enrollment
2 clinicians in this Medicare group

NPI 1932449451 (251) 340-7970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

195 services188 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

180 services180 patients

Test to assess balance during warm and cool irrigation in both ears 92537

This is a test called caloric stimulation, used to check your balance function. During this procedure, warm and cool water are gently introduced into your ears. Your eye movements are then observed, as they can indicate issues with balance or inner ear function.

149 services149 patients

Evaluation and testing for balance with recording 92540

This procedure involves a series of evaluations and tests to analyze your balance. Recordings are made to track your performance, helping identify any issues. This aids in determining the best treatment for any balance disorders you may have.

141 services141 patients

Placement of ear probe for computerized measurement of sound with interpretation and report 92587

This procedure involves placing a small probe in your ear to measure sounds. It's a painless process that helps doctors understand your hearing ability. The results will be interpreted and a report will be provided for further assessment.

121 services121 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

36 services19 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

18 services17 patients

Exploration of middle ear 69440

Exploration of the middle ear is a medical procedure where the doctor examines your middle ear to diagnose or treat ear conditions. It involves a small incision and a microscope to view the ear structures. This helps identify issues like infections, blockages, or damage to the ear.

12 services12 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

Quality

69.63

Improvement Activities

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.

GACEK EAR AND SINUS CENTER LLC

Otolaryngology

720 HILLCREST RD STE A
MOBILE, AL 36695

Mobile County (251) 340-7970

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.

Which organization bills Medicare for Mark Gacek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gacek reassigns Medicare benefits to Gacek Ear And Sinus Center LLC (Mobile, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Gacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Gacek accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Health Plan, Inc. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.