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MARYBETH CERMAK M.D.
NPI 1730109513
Orthopaedic Surgery - Hand Surgery in Erie, PA

Active since July 21, 2006PECOS Enrolled
82.94/100
CMS Quality Rating
300 STATE ST, SUITE 205, ERIE, PA 16507(814) 456-6022(814) 456-7040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marybeth Cermak M.d. NPPES

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

MARYBETH CERMAK M.D. (NPI 1730109513) is an individual hand surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD043782E) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730109513
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameMARYBETH CERMAKCredential: M.D.
Location Address300 STATE ST, SUITE 205Erie, PA 16507-1427
Mailing Address300 State St, Suite 205Erie, PA 16507-1427 · (814) 456-6022 · Fax (814) 456-7040
Phone(814) 456-6022
Fax(814) 456-7040
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730109513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses✔ Licensed in PA · MD043782E✔ Licensed in WV · 15185
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
300 STATE ST, Erie, PA 16507
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedCE604034PA
Medicare UPINE42754
Medicaid0001203483001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marybeth Cermak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marybeth Cermak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hand, Microsurgery And Reconstructive Orthopaedics, LLP
Same address
Hand Surgery
300 STATE ST, SUITE 205
Erie, PA 16507
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
NPI 1205856010 (814) 456-6022
Shriners Hospitals For Children
2.1 mi
Rehabilitation
1645 W 8TH ST
Erie, PA 16505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 30 clinicians in this Medicare group
NPI 1164799789 (814) 875-8700

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 9

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
99 services47 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.
68 services63 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
26 services23 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
24 services22 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
18 services13 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.45
Promoting Interoperability82
Improvement Activities40
Cost64.69

Reported Quality Measures

Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
47%769 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier20 claims20 services$64.25 avg. paid by Medicare
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier18 claims19 services$299.52 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier35 claims37 services$178.90 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier30 claims37 services$66.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. WILLIAM CHARLES EVANS III ATC
Specialist/Technologist (Athletic Trainer)
300 STATE ST, SUITE 106
ERIE, PA 16507
Erie County (814) 877-6195
JAWAID KALIM
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Erie County (814) 877-6997
JAMIE BORSA
Physician Assistant
300 STATE ST, #400A
ERIE, PA 16507
Erie County (814) 454-8287
REGIONAL HEALTH SERVICES, INC.
Urology
300 STATE ST, SUITE 301H
ERIE, PA 16507
Erie County (814) 877-5700
ASHLEY MARIA DAUGHENBAUGH CRNP
Nurse Practitioner
300 STATE ST, SUITE 201
ERIE, PA 16507
Erie County (814) 456-4241
DR. ROBERT NEFF RICART OD
Optometrist
300 STATE ST, SUITE 202
ERIE, PA 16507
Erie County (814) 454-6517
AMJAD ALI
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Erie County (814) 877-6997
SHANNON MOORE
Pediatrics
300 STATE ST, SUITE 301
ERIE, PA 16507
Erie County (814) 877-7907

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 Marybeth Cermak's NPI number?

The NPI number for Marybeth Cermak is 1730109513. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Marybeth Cermak located?

Marybeth Cermak practices at 300 State St Suite 205, Erie, PA 16507. The listed phone number is (814) 456-6022.

What is Marybeth Cermak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Marybeth Cermak enrolled in Medicare?

Yes. Marybeth Cermak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marybeth Cermak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marybeth Cermak reassigns Medicare benefits to 2 organizations: Hand, Microsurgery And Reconstructive Orthopaedics, LLP (Erie, PA) and Shriners Hospitals For Children (Erie, PA). 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 Marybeth Cermak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marybeth Cermak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Marybeth Cermak 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.

When was this NPI record last updated?

The NPPES record for Marybeth Cermak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.