Dr. Sonya Marcus, MD
101 Nicolls Rd, Stony Brook, NY 11794 • +1-680-555-6685
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Stony Brook Percentiles
NPI #1437594058 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across NY Otolaryngology providers positions Dr. Sonya Marcus, MD in Stony Brook at -0.71σ (0th city percentile / 15.83th state percentile, 289 Medicare beneficiaries), with clinical focus spanning 38 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Marcus (averaging 3.0 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (297 encounters), paired with 31231 (218x).
Uninsured and high-deductible cash patients visiting Dr. Sonya Marcus in Stony Brook (11794) face an estimated $232.00 initial evaluation fee at 101 Nicolls Rd (hybrid in-clinic and telehealth video consults; 14-minute average reception wait; bedside manner 4.57/5 from 22 verified reports).
Patients evaluating Dr. Sonya Marcus in ZIP 11794 note 27 years of post-doctoral tenure (null, 1999) alongside 3.0 annual CMS procedures per patient.
Compared against Stony Brook, NY Otolaryngology peers
873 annual services across 289 beneficiaries
Standard deviations from NY Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 297 | 12th | $312 – $428 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 218 | 12th | $628 – $860 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 166 | 12th | $458 – $628 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 113 | 12th | $220 – $302 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 79 | 12th | $197 – $270 |
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Dr. Sonya Marcus, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Marcus National Provider Identifier | NPI #1437594058 (MD) | CMS NPPES Registry (11794) |
| Dr. Marcus Stony Brook CMS Volume Rank | 0.00th Pct (873 CMS svcs; Z -0.713σ) | CMS Medicare Part B (NY Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Stony Brook, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 14 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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