DR. MARY STRAUB DOELLMAN (DO) – Otolaryngology Physician, NPI 1417117854
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for DR. MARY STRAUB DOELLMAN (DO)
1025 MAINE ST
QUINCY, IL 623014096
Phone: (217) 222-6550
Type: Mailing
600, Blues Lake Parkway, Rolla, Phelps County, Missouri, 65401, United States
ROLLA, MO 654018022
Phone: (573) 364-5719
Fax: (573) 202-2402
Type: Location
600 Blues Lake Pkwy
Rolla, MO 654018022
Phone: (573) 364-5719
Fax: (573) 202-2402
Type: Location
1050 W 10th St
Rolla, MO 654012905
Phone: (573) 364-9000
Type: Location
1000 Gw Ln
Waynesville, MO 655832339
Phone: (573) 774-2715
Type: Location
1050, West 10th Street, Rolla, Phelps County, Missouri, 65401, United States
ROLLA, MO 654012905
Phone: (573) 634-9000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,844.
Total Amount is formed as General ($1,844) + Research ($0) + Ownership ($0) = $1,844.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AERIN MEDICAL INC. ($1,155).
Total Amount
$1,844
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,844
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $1,155 |
| Inspire Medical Systems, Inc. | $198 |
| Regeneron Healthcare Solutions, Inc. | $140 |
| AstraZeneca Pharmaceuticals LP | $68 |
| ALK-Abello, Inc | $43 |
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: 2024-07-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190709000390 | I | Otolaryngology | MO | TBD |
| I20240703003008 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 348 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 179 | 147 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 177 | 149 | $0 |
| 95117 | Professional service for multiple injections of allergen | 149 | 38 | $0 |
| 95115 | Professional service for single injection of allergen | 127 | 27 | $0 |
Insurance plans in this area (ZIP 62301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Oral Surgery | IA | |
| - | MO | |
| Nurse Practitioner | IL | |
| - | IL | |
| Mental Health Counselor | IL | |
| - | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| - | IL |
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