DR. MARY MARTIN HENRY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1144283136
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
406 PATHOLOGY in MO
Provider Addresses for DR. MARY MARTIN HENRY (M.D.)
6800 STATE ROUTE 162
MARYVILLE, IL 620628521
Phone: (618) 288-5711
Fax: (314) 977-7615
Type: Mailing
2301 Holmes St
Kansas City, MO 641082640
Phone: (816) 404-0550
Type: Location
6420, Indian Lane, Indian Hills, Mission Hills, Johnson County, Kansas, 66208, United States
MISSION HILLS, KS 662081716
Phone: (913) 384-6334
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2016-04-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1043 days ago).
Enrollment records
3
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20140710000907 | I | Pathology | MO | 2023-07-31 |
| I20150409000928 | I | Pathology | IL | TBD |
| I20160429000249 | I | Pathology | GA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 419 | 235 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 87 | 67 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 72 | 30 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 72 | 60 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 40 | 37 | $0 |
Insurance plans in this area (ZIP 62062)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | MO | |
| Pediatric Medicine, Hematology/Oncology | TN | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Pediatric Medicine | IL | |
| G A S T R O E N T E R O L O G Y | WV | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Infectious Disease | OH | |
| Physician Assistant | MO | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO |
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