Mark Richard Gacek, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0002107 Issued in AL

Practice address

720 Hillcrest Rd Ste a
Mobile, AL 36695-3904

Phone

(251) 340-7970

Fax

(866) 873-8411

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gacek Ear and Sinus Center LLCGroup PAC ID 5294972469, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health University Hospital Hospital, Mobile, AL, CCN 010087
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Merit-based Incentive Payment System (MIPS)

Final score

77.64 of 100Reported as individual

Quality

55.27

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gacekearandsinuscenter.markgecek@127899.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gacek Ear and Sinus Center LLC

  • Otolaryngology Physician
  • Mobile, AL
  • NPI 1932449451
  Medicare reassignment Care Compare group NPD Authorized official
• Premier Health Management, Inc.

  • Ophthalmology Physician
  • Mobile, AL
  • NPI 1538154760

  Otolaryngology

  NPD
• Innovative Nutrition LLC

  • Registered Dietitian
  • Mobile, AL
  • NPI 1023610615
  NPD (past)
• Premier Health Management, Inc.

  • Eyewear Supplier
  • Foley, AL
  • NPI 1528783024
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072
  Care Compare affiliation
• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1073517769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MORRISON DR STE 400",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093350",
            "telephone_number": "251-340-6947",
            "fax_number": "251-340-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HILLCREST RD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953904",
            "telephone_number": "251-340-7970",
            "fax_number": "866-873-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 West Jackson",
            "address_purpose": "LOCATION",
            "city": "Summerdale",
            "state": "AL",
            "postal_code": "36580",
            "country_code": "US",
            "telephone_number": "251-346-7970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Memorial Hospital Dr",
            "address_2": "GLW Annex Building, Ste. 3C",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081183",
            "country_code": "US",
            "telephone_number": "251-340-7970",
            "fax_number": "251-340-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GACEK",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "0002107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AL",
            "identifier": "51134625",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148969",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GacekEarAndSinusCenter.MarkGecek@127899.advancedmd-direct.com",
            "affiliation": "N",
            "address_1": "720 Hillcrest Rd Ste A",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366953904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dahlene Nicole Fusco, M.D., PHD.
• G & M Healthcare Management, LLC
• G.Michael Maitre DMD PA
• Gacek Ear and Sinus Center LLC
• Brooke Gacek, RDN, LD
• Shilpa Gadde, M.D.
• Anushree Gade, MPH
• Daniel Steven Gaffin, D.P.M.
• William Lawrence Gafford III, CRNA
• Anna Caroline Gaines

• Otolaryngology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.