MARY BETH KASDA HENRY (MMS PA-C) – Physician Assistant, NPI 1053752964

MARY BETH KASDA HENRY (MMS PA-C) is a healthcare provider. based in Baltimore, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MMS PA-C. The NPI Number for MARY BETH KASDA HENRY (MMS PA-C) is 1053752964

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH KASDA HENRY (MMS PA-C)
NPI
1053752964
Phone
(410) 601-7097
Address
2401 W BELVEDERE AVE
Enumeration Date
9 July 2013
Last Update Date
21 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4437776890
Graduation Year
2013 (13 years ago)
PAC ID
4789819475
Group Practice PAC ID
9335303155
Professional Enrollment ID
I20131105001698
Address ID
MD212122310BA6317XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for MARY BETH KASDA HENRY (MMS PA-C)

  • 2401 W BELVEDERE AVE

    BALTIMORE, MD 21215

    Phone: (410) 601-7097

    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: 2021-02-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131105001698IPhysician AssistantMDTBD
I20210210003132IPhysician AssistantDCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5353$0
99213Established patient office or other outpatient visit, 20-29 minutes3131$0
81003Automated urinalysis test2222$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2222$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 21215)

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Provider's Procedures

MARY BETH KASDA HENRY (MMS PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMD93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2019

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: 9335303155View full group profile
NameSpecialtyState
Physician AssistantVA
Sports Medicine, Family PracticeSC
-NY
Nurse PractitionerVA
Nurse PractitionerVA
-DC
Physician AssistantNC
Physician AssistantGA
-IN
Family PracticeMD

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Frequently asked questions

What number should I use to identify MARY BETH KASDA HENRY (MMS PA-C) for billing?
Administrative and clinical systems typically use NPI 1053752964 for MARY BETH KASDA HENRY (MMS PA-C).
Quick check: is MARY BETH KASDA HENRY (MMS PA-C) active?
Public NPPES data shows MARY BETH KASDA HENRY (MMS PA-C) with an active NPI status right now.
How should patients interpret MARY BETH KASDA HENRY (MMS PA-C)'s specialty?
The extract shows Physician Assistant for MARY BETH KASDA HENRY (MMS PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to MARY BETH KASDA HENRY (MMS PA-C)?
The directory associates MARY BETH KASDA HENRY (MMS PA-C) with Baltimore, Maryland. Check all listed addresses for suites or satellite offices.
Who maintains MARY BETH KASDA HENRY (MMS PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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