MARY THERESE UCKERMAN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1801809322

MARY THERESE UCKERMAN (MD) is a healthcare provider. based in Melrose park, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 036087252 (IL). The NPI Number for MARY THERESE UCKERMAN (MD) is 1801809322

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MARY THERESE UCKERMAN (MD)
NPI
1801809322
Phone
(708) 681-3200
Address
701 W NORTH AVE
Enumeration Date
14 August 2006
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7082295813
Graduation Year
1991 (35 years ago)
PAC ID
6709854128
Group Practice PAC ID
4688753395
Professional Enrollment ID
I20040922000980
Address ID
IL608052701EV2800XSTXX418
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

766 PATHOLOGY in IL

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Provider Addresses for MARY THERESE UCKERMAN (MD)

  • North Avenue, Melrose, Middlesex County, Massachusetts, 01180, United States

    MELROSE PARK, IL 601601612

    Phone: (708) 681-3200

    Mailing address matches the actual address.

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: 2004-09-22

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
I20040922000980IPathologyILTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity582311$0
88341Special stained specimen slides to examine tissue, each additional procedure22770$0
88342Special stained specimen slides to examine tissue, initial procedure212178$0
88313Special stained specimen slides to examine tissue including interpretation and report11182$0
85060Blood smear interpretation by physician with written report5654$0
View full utilization report →

Insurance plans in this area (ZIP 60160)

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Provider's Procedures

MARY THERESE UCKERMAN (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIL88312Special stained specimen slides to identify organisms including interpretation and report284214

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: 4688753395View full group profile
NameSpecialtyState
P A T H O L O G YIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

What is MARY THERESE UCKERMAN (MD)'s NPI number?
MARY THERESE UCKERMAN (MD)'s NPI is 1801809322 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MARY THERESE UCKERMAN (MD)?
You should see MARY THERESE UCKERMAN (MD) as active in CMS-hosted NPPES data.
What kind of doctor is MARY THERESE UCKERMAN (MD)?
MARY THERESE UCKERMAN (MD) is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MARY THERESE UCKERMAN (MD) located near Melrose Park?
MARY THERESE UCKERMAN (MD) currently maps to Melrose Park, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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