Active NPI 1649402249 Individual Practitioner Male Practitioner

Dr. Benjamin M Mack , MD

Emergency Medicine • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Mack, MD is a certified Emergency Medicine practicing in Kettering, OH. With approximately 17 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2009, Dr. Mack delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

Dr. Mack maintains professional affiliations with Allied West Virginia Emergency Physicians Pllc, Valley Emergency Physicians Ohio Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, critical care, first, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373846800

Fax 9373846839

Associated Practice Facility / Clinic

🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Kettering, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +0.7 yrs vs City Avg

City Avg: 16.3 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

149 Specialists

Practicing in Kettering, OH (3084 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (17 Years) 17 Yrs

Kettering Specialty Average (16.3 Years) 16.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	357	339	$1650.37	$169.84
99291 Critical care, first 30-74 minutes	135	132	$2128.64	$202.09
99284 Emergency department visit with moderate level of medical decision making	63	61	$1118.21	$116.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	365	345	$1600.61	$171.77
99291 Critical care, first 30-74 minutes	155	151	$2066.64	$198.39
99284 Emergency department visit with moderate level of medical decision making	77	77	$1085.64	$113.56
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	60	56	$78.48	$7.59
99283 Emergency department visit with low level of medical decision making	16	16	$572.24	$66.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	404	362	$77.34	$7.96
99285 Emergency department visit for life threatening or functioning severity	382	373	$1604.33	$172.88
99291 Critical care, first 30-74 minutes	169	165	$2047.71	$209.04
99284 Emergency department visit with moderate level of medical decision making	87	84	$1081.11	$115.68
99283 Emergency department visit with low level of medical decision making	36	35	$572.24	$71.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	587	547	$1632.96	$178.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	252	239	$60.26	$8.07
99291 Critical care, first 30-74 minutes	161	159	$1805.78	$215.65
99284 Emergency department visit with moderate level of medical decision making	87	85	$1037.47	$120.62
99283 Emergency department visit with low level of medical decision making	19	19	$667.89	$72.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	679	647	$1601.77	$175.29
99291 Critical care, first 30-74 minutes	167	165	$1769.46	$222.16
99284 Emergency department visit with moderate level of medical decision making	66	64	$1015.00	$121.30
99283 Emergency department visit with low level of medical decision making	13	13	$628.46	$65.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	817	750	$1360.15	$172.76
99291 Critical care, first 30-74 minutes	124	121	$1500.00	$218.45
99284 Emergency department visit with moderate level of medical decision making	81	79	$910.25	$115.64
99283 Emergency department visit with low level of medical decision making	14	14	$612.86	$61.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	742	697	$1313.91	$172.15
99291 Critical care, first 30-74 minutes	126	123	$1446.77	$217.27
99284 Emergency department visit with moderate level of medical decision making	97	96	$965.51	$117.31
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	37	37	$50.00	$8.30
99283 Emergency department visit with low level of medical decision making	13	13	$614.62	$61.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	744	694	$1023.38	$170.92
99284 Emergency department visit with moderate level of medical decision making	177	175	$823.05	$114.98
99291 Critical care, first 30-74 minutes	126	124	$1105.44	$219.07
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	53	51	$45.00	$7.75
99283 Emergency department visit with low level of medical decision making	22	22	$504.45	$58.79

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License KY 45040

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Valley Emergency Physicians Ohio Llc

1408 Campbell Dr, Ironton, OH 456382301

Phone: 7405339710

Allied West Virginia Emergency Physicians Pllc

2900 1st Ave, Huntington, WV 257021241

Phone: 3045261111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Jessica Caruso , DO

Student in an Organized Health Care Education/Training Program

NPI 1013611268

Doctor of Osteopathic Medicine (D.O.)

Dr. David Lim , MD

Internal Medicine

NPI 1023013372

Doctor of Medicine (M.D.)

Dr. Eric Oliveira , MD

Student in an Organized Health Care Education/Training Program

NPI 1023861358

Doctor of Medicine (M.D.)

Jaime Parra Yepes

Student in an Organized Health Care Education/Training Program

NPI 1023937638

Sarah Beach

Student in an Organized Health Care Education/Training Program

NPI 1033052071

Dr. Alice Varughese , MD

Student in an Organized Health Care Education/Training Program

NPI 1033058672

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 22, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2012

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373846800)

📍

Updated Business Mailing Address October 22, 2012

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221

👤

Provider Name / Credentials Updated October 22, 2012

Recorded as BENJAMIN MACK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2012

Emergency Medicine (License #45040 in KY)

🟢

Initial NPI Registration & Enumeration August 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649402249

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 14, 2009

Last Update: October 22, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3535 Southern Blvd

Kettering, OH 454291221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.