BENJAMIN M MACK MD
NPI 1649402249
Emergency Medicine in Kettering, OH
About Benjamin M Mack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN M MACK MD (NPI 1649402249) is an individual emergency medicine provider in Kettering, Ohio, licensed in Kentucky (45040) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
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 M Mack 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Medical Center
Acute Care Hospitals · Huntington, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
KETTERING, OH 45429
KETTERING, OH 45429
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 Mack's NPI number?
The NPI number for Benjamin Mack is 1649402249. It was assigned to this individual provider in the NPPES registry on August 14, 2009.
Where is Benjamin Mack located?
Benjamin Mack practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 384-6800.
What is Benjamin Mack's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Benjamin Mack enrolled in Medicare?
Yes. Benjamin Mack 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.
Is Benjamin Mack affiliated with any hospitals?
According to CMS data, Benjamin Mack is affiliated with St Mary's Medical Center.
When was this NPI record last updated?
The NPPES record for Benjamin Mack was last updated on October 22, 2012. 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.
# Benjamin M Mack, MD · NPI 1649402249
Emergency Medicine physician in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since August 14, 2009.
## Identity
- **NPI:** 1649402249 (Entity type: Individual)
- **Enumerated:** August 14, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 45040 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3535 SOUTHERN BLVD, Kettering, OH 45429-1221
- **Phone:** (937) 384-6800 · **Fax:** (937) 384-6839
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** October 22, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1649402249) · Data from the CMS NPPES public registry.