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DR. BENJAMIN W MURCEK D.O.
NPI 1124057658
Otolaryngology in Sandusky, OH

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
2800 HAYES AVE, BUILDING F, SANDUSKY, OH 44870(419) 626-1331(419) 626-1338 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin W Murcek D.o. NPPES

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

DR. BENJAMIN W MURCEK D.O. (NPI 1124057658) is an individual otolaryngology provider in Sandusky, Ohio, licensed in Ohio (34-004392) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1124057658
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BENJAMIN W MURCEKCredential: D.O.
Location Address2800 HAYES AVE, BUILDING FSandusky, OH 44870-7248
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 609-1112 · Fax (419) 609-1123
Phone(419) 626-1331
Fax(419) 626-1338
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1987
Enumeration DateJune 30, 2006
Last NPPES UpdateMay 10, 2013
✔ NPI 1124057658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 34-004392
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.
2800 HAYES AVE, Sandusky, OH 44870
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Other Identifiers 4

Medicaid0794930OH
Medicare PIN0684295OH
Medicare UPINE40824OH
Other040016135OH · Medicare Railroad

Accepted Insurance

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

Dr. Benjamin W Murcek D.o. 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 ID9638073075
PECOS Enrollment IDI20050419001326
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 11

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.
417 services219 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.
188 services188 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.
114 services84 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
64 services61 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.
54 services50 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642
This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
26 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

Other Providers at the Same Location NPPES 14

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

DR. CHRISTOPHER E AVENDANO M.D.
Internal Medicine (Pulmonary Disease)
2800 HAYES AVE, BUILDING G
SANDUSKY, OH 44870
Erie County (419) 609-7506
MS. DEBORAH J MCGILL
Audiologist
2800 HAYES AVE, BUILDING F
SANDUSKY, OH 44870
Erie County (419) 626-1331
DR. GREGORY P COOK MD
Urology
2800 HAYES AVE, BLDG D
SANDUSKY, OH 44870
Erie County (419) 627-8771
DR. DONALD L. SMITH JR. MD
Urology
2800 HAYES AVE, BLDG D
SANDUSKY, OH 44870
Erie County (419) 627-8771
FISHER-TITUS SPECIALISTS, LLC
Urology
2800 HAYES AVE, BUILDING D
SANDUSKY, OH 44870
Erie County (419) 627-8771
EXECUTIVE UROLOGY
Urology
2800 HAYES AVE, BLDG D
SANDUSKY, OH 44870
Erie County (419) 627-8771
VIMAL SHIV KUMAR M.D.
Anesthesiology (Pain Medicine)
2800 HAYES AVE, BUILDING A
SANDUSKY, OH 44870
Erie County (419) 625-6966
ALLISON SHELLEY KOLCUN AU.D.
Audiologist
2800 HAYES AVE, BUILDING F
SANDUSKY, OH 44870
Erie County (419) 626-1331

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 Benjamin Murcek's NPI number?

The NPI number for Benjamin Murcek is 1124057658. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Benjamin Murcek located?

Benjamin Murcek practices at 2800 Hayes Ave Building F, Sandusky, OH 44870. The listed phone number is (419) 626-1331.

What is Benjamin Murcek's specialty?

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

Is Benjamin Murcek enrolled in Medicare?

Yes. Benjamin Murcek 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 Benjamin Murcek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Benjamin Murcek 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 Benjamin Murcek affiliated with any hospitals?

According to CMS data, Benjamin Murcek is affiliated with Firelands Regional Medical Center and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Murcek was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.