DR. MARY A LOB (MD) – Family Medicine Physician, NPI 1841238771
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MARY A LOB (MD)
21411 BROOKES RUN RD
BROOKSVILLE, FL 346046728
Phone: (402) 740-9044
Type: Mailing
5352 N HABANA AVE STE B
TAMPA, FL 336146838
Phone: (813) 756-1956
Type: Location
CHI Health Clinic, 122, West 8th Street, Logan, Harrison County, Iowa, 51546, United States
LOGAN, IA 515461416
Phone: (712) 644-3288
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160726000613 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 81003 | Automated urinalysis test | 15 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 34604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | TN | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | PA | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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