BENJAMIN C MARCUS MD
NPI 1639134398
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Middleton, WI

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
2349 DEMING WAY, MIDDLETON, WI 53562(608) 836-9990(608) 836-3101 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1639134398
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameBENJAMIN C MARCUSCredential: MD
Location Address2349 DEMING WAYMiddleton, WI 53562-5530
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 836-3101
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1999
Enumeration DateApril 18, 2006
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
NPI 1639134398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in WI · 47961-20
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 47961-20 (WI)
2349 DEMING WAY, Middleton, WI 53562

Accepted 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

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.

PECOS PAC ID9335121474
PECOS Enrollment IDI20050531000871
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

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, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Other Providers at the Same Location NPPES 13

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

Nurse Anesthetist, Certified Registered
2349 DEMING WAY
MIDDLETON, WI 53562
Optometrist
2349 DEMING WAY
MIDDLETON, WI 53562
Optometrist
2349 DEMING WAY
MIDDLETON, WI 53562
Durable Medical Equipment & Medical Supplies
2349 DEMING WAY, 2ND FLR
MIDDLETON, WI 53562
Ophthalmology
2349 DEMING WAY
MIDDLETON, WI 53562
Anesthesiology
2349 DEMING WAY
MADISON, WI 53562
Optometrist
2349 DEMING WAY
MIDDLETON, WI 53562
Ophthalmology
2349 DEMING WAY
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.

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 with the weekly NPPES data releases published by CMS.