MARY C DYNES (MD) – Diagnostic Radiology Physician, NPI 1124013677
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
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Provider Addresses for MARY C DYNES (MD)
620, West Edison Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States
SUITE 110
MISHAWAKA, IN 465452784
Phone: (574) 258-1100
Fax: (574) 258-1101
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)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $17 |
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: 2004-02-09
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 |
|---|---|---|---|---|
| I20040209000835 | I | Diagnostic Radiology | IN | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 407 | 393 | $0 |
| 70450 | Ct scan head or brain without contrast | 252 | 248 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 115 | 113 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 90 | 90 | $0 |
| 72125 | Ct scan of upper spine without contrast | 75 | 74 | $0 |
Insurance plans in this area (ZIP 46545)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 866 | 751 |
| DIAGNOSTIC RADIOLOGY | IN | 71250 | CT scan chest | 23 | 23 |
| DIAGNOSTIC RADIOLOGY | IN | 73110 | X-ray of wrist, minimum of 3 views | 21 | 20 |
| DIAGNOSTIC RADIOLOGY | IN | 73630 | X-ray of foot, minimum of 3 views | 22 | 21 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 31 | 31 |
| DIAGNOSTIC RADIOLOGY | IN | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 18 | 18 |
| DIAGNOSTIC RADIOLOGY | IN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 87 | 86 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| - | IN | |
| Diagnostic Radiology, Interventional Radiology | IN | |
| Diagnostic Radiology | IL |
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