DR. KOHL MITCHELL MAYBERRY (D.O.) – Child & Adolescent Psychiatry Physician, NPI 1295028256
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KOHL MITCHELL MAYBERRY (D.O.)
302 RANDALL RD STE 308
GENEVA, IL 601344205
Phone: (630) 933-4056
Fax: (630) 208-3007
Type: Mailing
1335 N MILL ST STE 100
NAPERVILLE, IL 605632047
Phone: (630) 305-5027
Type: Location
1600 SW ARCHER RD
#100371
GAINESVILLE, FL 326103003
Phone: (352) 265-0301
Fax: (352) 265-0627
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: 2022-11-28
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 |
|---|---|---|---|---|
| I20221128001447 | I | Psychiatry | IL | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 112 | 25 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 17 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL | |
| - | CO | |
| P S Y C H I A T R Y | FL | |
| - | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL |
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