DR. MARY C HUTTON (MD) – Family Medicine Physician, NPI 1164415808

DR. MARY C HUTTON (MD) is a healthcare provider. based in Evanston, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036-077730 (IL). The NPI Number for DR. MARY C HUTTON (MD) is 1164415808

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY C HUTTON (MD)
NPI
1164415808
Phone
(847) 982-3175
Address
2650 RIDGE AVE # 1223
Enumeration Date
29 August 2005
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
0446156574
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20070529000036
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
mhutton41761@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:20State licenses:1Other names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. MARY C HUTTON (MD)

  • 2650 RIDGE AVE # 1223

    EVANSTON, IL 602011700

    Phone: (847) 982-3175

    Fax: (847) 982-3394

    Type: Mailing

  • 172, Schiller Street, Elmhurst, DuPage County, Illinois, 60126, United States

    ELMHURST, IL 601262885

    Phone: (630) 933-5676

    Type: Mailing

  • 1100, Lake Street, Oak Park, Montgomery, Montgomery County, Alabama, 36104, United States

    OAK PARK, IL 60301

    Phone: (708) 524-1420

    Fax: (708) 524-1509

    Type: Location

  • 1100 LAKE ST STE 230

    OAK PARK, IL 603011095

    Phone: (331) 221-9001

    Fax: (331) 221-2305

    Type: Location

  • 4201 WINFIELD RD FL 4

    WARRENVILLE, IL 605554025

    Phone: (331) 221-6377

    Fax: (331) 221-2357

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-01-09 • Largest payer in this snapshot: Grifols USA, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Grifols USA, LLC$20
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: 2007-05-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070529000036IFamily PracticeILTBD

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 minutes15399$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit105105$0
99213Established patient office or other outpatient visit, 20-29 minutes10277$0
G0008Administration of influenza virus vaccine5148$0
90662Influenza vaccine split virus, preservative free4442$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Diagnostic RadiologyIL
Family PracticeIL
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARY C HUTTON (MD)?
NPI 1164415808 is assigned to DR. MARY C HUTTON (MD) under the national enumeration system.
Is DR. MARY C HUTTON (MD) active in the national directory?
DR. MARY C HUTTON (MD)'s public NPI profile is in an active state.
Does DR. MARY C HUTTON (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. MARY C HUTTON (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. MARY C HUTTON (MD)?
We surface Evanston, Illinois for DR. MARY C HUTTON (MD) based on available NPPES addresses.
How can I contact DR. MARY C HUTTON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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