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Deactivated NPI 1750493003 Deactivated / Inactive NPI Male Practitioner

Dr. Victor S Ejercito , MD

Otolaryngology • Marshfield, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Victor Ejercito has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date December 27, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Victor Ejercito, MD was a registered Otolaryngology practicing in Marshfield, WI. Throughout an active medical career spanning 17 years, Dr. Ejercito provided care at the practice location at 1000 N OAK AVE until profile deactivation on 2023-12-27.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of impacted ear wax. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1000 N Oak Ave

Marshfield, WI 54449

Telephone 7153875245
Associated Practice Facility / Clinic
🏢 Marshfield Clinic Inc Facility NPI 1952347981

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Marshfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Marshfield, WI (247 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
43 36 $178.10 $68.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $286.60 $102.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 23 $124.50 $41.33
69210 Removal of impacted ear wax
12 12 $280.70 $46.39

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License WI 22348

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Eugene Larson , PA

Physician Assistant

NPI 1003904087

Physician Assistant

Dr. James Holt , MD

Otolaryngology

NPI 1023110939

Doctor of Medicine (M.D.)

Brent Kallembach , PA-C

Physician Assistant

NPI 1396847232

Physician Assistant (Certified)

NPI 1902918253

Doctor of Medicine (M.D.)

NPI 1932202561

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 27, 2023

Record deactivated on December 27, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 54449 (Tel: 7153875245)

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Updated Business Mailing Address July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495777

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Provider Name / Credentials Updated July 08, 2007

Recorded as VICTOR EJERCITO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Otolaryngology (License #22348 in WI)

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Initial NPI Registration & Enumeration August 31, 2006

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: 1750493003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Deactivation Date: December 27, 2023

Mailing Address

1000 N Oak Ave

Marshfield, WI 544495777

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.