BENJAMIN SULKA DO
NPI 1346691581
Emergency Medicine in Jackson, MI

Q: What is Benjamin Sulka's NPI number?

The NPI number for Benjamin Sulka is 1346691581. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Q: What is Benjamin Sulka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Sulka was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 29, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

205 N EAST AVE, JACKSON, MI 49201(517) 788-4800(517) 817-7050 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 6, 2021, Jun 29, 2016 (2 updates tracked since 2016).

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About Benjamin Sulka Do NPPES

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

BENJAMIN SULKA DO (NPI 1346691581) is an individual emergency medicine provider in Jackson, Michigan, licensed in Michigan (5101022633) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Ludington Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1346691581

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameBENJAMIN SULKACredential: DO

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 788-4800 · Fax (517) 817-7050

Phone(517) 788-4800

Fax(517) 817-7050

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016

Enumeration DateJune 29, 2016

Last NPPES UpdateMay 6, 20212 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1346691581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101022633

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

205 N EAST AVE, Jackson, MI 49201

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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

Benjamin Sulka Do 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 ID9335434083

PECOS Enrollment IDI20210617001324

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

138 services131 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

110 services105 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

34 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230110

LocationOne N Atkinson DriveLudington, MI 49431 · Mason County

Emergency services Birthing friendly

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231323

Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.23

Improvement Activities

Other Providers at the Same Location NPPES 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant