MARY BETH DOYLE (MD) – Pediatrics Physician, NPI 1841352655

MARY BETH DOYLE (MD) is a healthcare provider. based in Scott afb, Illinois. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 0116018403 (VA). The NPI Number for MARY BETH DOYLE (MD) is 1841352655

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH DOYLE (MD)
NPI
1841352655
Phone
(618) 256-7018
Address
310 W LOSEY ST
Enumeration Date
15 December 2006
Last Update Date
25 January 2012

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8597376480
Graduation Year
2006 (20 years ago)
PAC ID
4587813670
Group Practice PAC ID
9739337569
Professional Enrollment ID
I20121004000697
Address ID
KY403917604WI225XXDRXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,158 PEDIATRIC MEDICINE in IL

Provider Addresses for MARY BETH DOYLE (MD)

  • 310 W LOSEY ST

    SCOTT AFB, IL 622255250

    Phone: (618) 256-7018

    Fax: (618) 256-7594

    Type: Location

  • 5 MATTHEW ALLEN CT

    TROY, IL 622944009

    Phone: (757) 763-9933

    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 $661.

Total Amount is formed as General ($661) + Research ($0) + Ownership ($0) = $661.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Corium, LLC ($337).

Total Amount

$661

General + Research + Ownership

Payments

37

Total payment records

General Amount

$661

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-10-04

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
I20121004000697IPediatric MedicineKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62225)

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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: 9739337569View full group profile

Reviews

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Frequently asked questions

How do payers reference MARY BETH DOYLE (MD)?
For MARY BETH DOYLE (MD), use NPI 1841352655 as the unique 10-digit identifier.
Active or inactive — what applies to MARY BETH DOYLE (MD)?
You should see MARY BETH DOYLE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is MARY BETH DOYLE (MD)?
MARY BETH DOYLE (MD) is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is MARY BETH DOYLE (MD) registered?
Use Scott Afb, Illinois as the headline location for MARY BETH DOYLE (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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