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MARY ELLEN GAEKE MD
NPI 1134180664
Internal Medicine - Hematology & Oncology in Middletown, OH

Active since April 02, 2006PECOS EnrolledAccepts Medicare Assignment
82 N BREIEL BLVD, MIDDLETOWN, OH 45042(513) 422-3119(513) 420-1848 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary Ellen Gaeke Md NPPES

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

MARY ELLEN GAEKE MD (NPI 1134180664) is an individual hematology & oncology provider in Middletown, Ohio, licensed in Ohio (35044786) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with University Hospitals Samaritan Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1134180664
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMARY ELLEN GAEKECredential: MD
Location Address82 N BREIEL BLVDMiddletown, OH 45042-3804
Mailing Address82 N Breiel BlvdMiddletown, OH 45042-3804 · (513) 422-3119 · Fax (513) 420-1848
Phone(513) 422-3119
Fax(513) 420-1848
Sole ProprietorYes
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1975
Enumeration DateApril 2, 2006
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1134180664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in OH · 35044786
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
82 N BREIEL BLVD, Middletown, OH 45042
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Other Names 1

Former Name (1)Mary Ellen Broadstone Md

Secondary Practice Locations 4

Location 1600 W Main St Ste 130Troy, OH 45373-3384 · Phone (855) 500-2873 · Fax (937) 380-7057
Location 21010 Cereal Ave Ste 300Hamilton, OH 45013-2789 · Phone (855) 500-2873 · Fax (937) 281-3913
Location 33700 Southern BlvdKettering, OH 45429-1265 · Phone (855) 500-2873 · Fax (937) 281-3913
Location 43535 Pentagon Blvd Ste 400Beavercreek, OH 45431-1705 · Phone (855) 500-2873 · Fax (937) 490-2266

Other Identifiers 2

Other203767807OH · Tax Id
Medicaid0428424OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.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

Mary Ellen Gaeke 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 ID1951315217
PECOS Enrollment IDI20060130000148
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 4

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.
210 services69 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.
107 services68 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.
93 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients

Hospital Affiliations CMS Care Compare 5

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

University Hospitals Samaritan Medical Center

Acute Care Hospitals · Ashland, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360002
Location1025 Center StAshland, OH 44805 · Ashland County

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45042 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

MARY ELLEN BROADSTONE GAEKE, MD, LLC
Internal Medicine (Hematology & Oncology)
82 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 422-3119

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 Mary Gaeke's NPI number?

The NPI number for Mary Gaeke is 1134180664. It was assigned to this individual provider in the NPPES registry on April 2, 2006. The provider is also known as Mary Ellen Broadstone MD.

Where is Mary Gaeke located?

Mary Gaeke practices at 82 N Breiel Blvd, Middletown, OH 45042. The listed phone number is (513) 422-3119.

What is Mary Gaeke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mary Gaeke enrolled in Medicare?

Yes. Mary Gaeke 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 Mary Gaeke accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Mary Gaeke 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 Mary Gaeke affiliated with any hospitals?

According to CMS data, Mary Gaeke is affiliated with University Hospitals Samaritan Medical Center, Ohiohealth Mansfield Hospital, Kettering Health Dayton, Uh Cleveland Medical Center and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Gaeke was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.