DR. MARJORIE KETZAK DO
NPI 1780684159
Family Medicine in Oxford, NY

Q: What is Marjorie Ketzak's NPI number?

The NPI number for Marjorie Ketzak is 1780684159. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Marjorie Ketzak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marjorie Ketzak was last updated on November 27, 2020. 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.

Active since July 28, 2005PECOS Enrolled

4207 STATE HIGHWAY 220, OXFORD, NY 13830(607) 843-3140(607) 843-3162 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Marjorie Ketzak Do NPPES

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

DR. MARJORIE KETZAK DO (NPI 1780684159) is an individual family medicine provider in Oxford, New York, licensed in New York (2200SG) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greene.

NPPES Registry Identity

NPI1780684159

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARJORIE KETZAKCredential: DO

Location Address4207 STATE HIGHWAY 220Oxford, NY 13830-4305

Mailing Address4207 State Highway 220Oxford, NY 13830-4305 · (607) 843-3140 · Fax (607) 843-3162

Phone(607) 843-3140

Fax(607) 843-3162

Sole ProprietorNo

Enumeration DateJuly 28, 2005

Last NPPES UpdateNovember 27, 2020

NPPES CertifiedNovember 27, 2020

✔ NPI 1780684159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 2200SG

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4207 STATE HIGHWAY 220, Oxford, NY 13830

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Secondary Practice Location 1

Location 129 N Chenango St, Suite AGreene, NY 13778-1154 · Phone (607) 875-4334 · Fax (888) 603-9093

Other Identifiers 1

Medicaid02154465NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marjorie Ketzak Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13830 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$23.59 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$4.39 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$8.94 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$7.82 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$3.42 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 4

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

DANIELLE RAFFERTY FNP

Nurse Practitioner (Family)

4207 STATE HIGHWAY 220
OXFORD, NY 13830

Chenango County (607) 843-3100

STATE OF NEW YORK COMPTROLLERS OFFICE

Skilled Nursing Facility

4207 STATE HIGHWAY 220
OXFORD, NY 13830

Chenango County (607) 843-3129

MS. AUTUMN LEE TOKOS MS, RN, FNP-BC

Nurse Practitioner (Family)

4207 STATE HIGHWAY 220
OXFORD, NY 13830

Chenango County (607) 843-3173

RONICA LYNN MURPHY FNP

Nurse Practitioner (Family)

4207 STATE HIGHWAY 220
OXFORD, NY 13830

Chenango County (607) 843-3140

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 Marjorie Ketzak's NPI number?

The NPI number for Marjorie Ketzak is 1780684159. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Marjorie Ketzak located?

Marjorie Ketzak practices at 4207 State Highway 220, Oxford, NY 13830. The listed phone number is (607) 843-3140.

What is Marjorie Ketzak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marjorie Ketzak enrolled in Medicare?

Yes. Marjorie Ketzak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marjorie Ketzak was last updated on November 27, 2020. 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.