DR. MARY CAROLYN CLEMENTS VINSON (DO) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1700043197

DR. MARY CAROLYN CLEMENTS VINSON (DO) is a healthcare provider. based in Atlanta, Georgia. specializing in THORACIC SURGERY, GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. OS11285 (FL). The NPI Number for DR. MARY CAROLYN CLEMENTS VINSON (DO) is 1700043197

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY CAROLYN CLEMENTS VINSON (DO)
NPI
1700043197
Phone
(888) 236-2263
Address
PO BOX 746550
Enumeration Date
22 May 2008
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525134783
Graduation Year
2007 (19 years ago)
PAC ID
2163726241
Group Practice PAC ID
7416253828
Professional Enrollment ID
I20160210001509
Address ID
FL344425321HE2456XAVEX400

Contacts

Secure Messaging
mvinson125740@direct.tgh.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

406 THORACIC SURGERY in FL

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Provider Addresses for DR. MARY CAROLYN CLEMENTS VINSON (DO)

  • PO BOX 746550

    ATLANTA, GA 303746550

    Phone: (888) 236-2263

    Fax: (434) 654-8961

    Type: Mailing

  • PO BOX 10744

    CLEARWATER, FL 337578744

    Phone: (727) 532-0002

    Fax: (727) 266-4943

    Type: Mailing

  • 4007, North Taliaferro Avenue, Tampa, Hillsborough County, Florida, 33603, United States

    SUITE C

    TAMPA, FL 336034303

    Phone: (813) 238-0810

    Fax: (813) 238-0811

    Type: Location

  • 500 MARTHA JEFFERSON DR FL 5

    CHARLOTTESVILLE, VA 229114668

    Phone: (434) 654-5260

    Fax: (844) 340-9731

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $3,122.

Total Amount is formed as General ($3,122) + Research ($0) + Ownership ($0) = $3,122.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,976).

Total Amount

$3,122

General + Research + Ownership

Payments

15

Total payment records

General Amount

$3,122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160210001509IThoracic SurgeryFLTBD
I20220224002028IThoracic SurgeryVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8772$0
99204New patient office or other outpatient visit, 45-59 minutes5656$0
99213Established patient office or other outpatient visit, 20-29 minutes4239$0
99215Established patient office or other outpatient visit, 40-54 minutes3733$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416253828View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. MARY CAROLYN CLEMENTS VINSON (DO) in the U.S.?
In the U.S., DR. MARY CAROLYN CLEMENTS VINSON (DO) is identified by NPI 1700043197.
Should I treat DR. MARY CAROLYN CLEMENTS VINSON (DO) as an active provider?
Patients and plans typically see DR. MARY CAROLYN CLEMENTS VINSON (DO) as active in the national extract.
How should patients interpret DR. MARY CAROLYN CLEMENTS VINSON (DO)'s specialty?
The extract shows Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for DR. MARY CAROLYN CLEMENTS VINSON (DO). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MARY CAROLYN CLEMENTS VINSON (DO)?
The directory associates DR. MARY CAROLYN CLEMENTS VINSON (DO) with Atlanta, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains DR. MARY CAROLYN CLEMENTS VINSON (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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