BENJAMIN C MARCUS MD
NPI 1639134398
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Middleton, WI
About Benjamin C Marcus Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN C MARCUS MD (NPI 1639134398) is an individual otolaryngology/facial plastic surgery provider in Middleton, Wisconsin, licensed in Wisconsin (47961-20) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Benjamin C Marcus 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.
Medicare Billing Reassignments
2Medicare enrollment records show Benjamin Marcus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Madison, WI 53705
- Reassigned Medicare billing, Wisconsin enrollment
- 206 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIOther Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLETON, WI 53562
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 Marcus's NPI number?
The NPI number for Benjamin Marcus is 1639134398. It was assigned to this individual provider in the NPPES registry on April 18, 2006.
Where is Benjamin Marcus located?
Benjamin Marcus practices at 2349 Deming Way, Middleton, WI 53562. The listed phone number is (608) 836-9990.
What is Benjamin Marcus's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.
Is Benjamin Marcus enrolled in Medicare?
Yes. Benjamin Marcus 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 organizations bill Medicare for Benjamin Marcus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Marcus reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and University Of Wisconsin System Non Payroll (Madison, WI). Each 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 Benjamin Marcus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Marcus accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Benjamin Marcus 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 Marcus affiliated with any hospitals?
According to CMS data, Benjamin Marcus is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Benjamin Marcus was last updated on January 22, 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.
# Benjamin C Marcus, MD · NPI 1639134398
Otolaryngology/Facial Plastic Surgery physician in Middleton, Wisconsin. Individual provider, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1639134398 (Entity type: Individual)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Otolaryngology - Otolaryngology/Facial Plastic Surgery · taxonomy 207YX0905X
- **State license:** 47961-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2349 DEMING WAY, Middleton, WI 53562-5530
- **Phone:** (608) 836-9990 · **Fax:** (608) 836-3101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); University Of Wisconsin System Non Payroll (NPI 1346266319, Madison, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Chicago, Pritzker School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** January 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639134398) · Data from the CMS NPPES public registry.