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: July 19, 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
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

Other Identifiers 3

Medicare ID-Type UnspecifiedCE604034PA
Medicare UPINE42754
Medicaid0001203483001PA

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 (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.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
909 services202 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
363 services230 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.
171 services85 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.
156 services95 patients
New patient office or other outpatient visit, 30-44 minutes 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.
131 services131 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
127 services98 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.

Orthopaedic Surgery
300 STATE ST, STE 400A
ERIE, PA 16507
Ophthalmology
300 STATE ST, STE 201
ERIE, PA 16507
Pediatrics
300 STATE ST, SUITE 301
ERIE, PA 16507
Occupational Therapist
300 STATE ST, SIUTE 206
ERIE, PA 16507
Physician Assistant
300 STATE ST, #400A
ERIE, PA 16507
Ophthalmology
300 STATE ST, STE 200
ERIE, PA 16507
Optometrist
300 STATE ST, SUITE 202
ERIE, PA 16507
Optometrist
300 STATE ST, SUITE 202
ERIE, PA 16507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730109513, enumerated as an "individual" on July 21, 2006.

The provider is located at 300 STATE ST SUITE 205 ERIE, PA 16507 and the phone number is (814) 456-6022.

Orthopaedic Surgery with taxonomy code 207XS0106X and a focus in Hand Surgery.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.