DR. MARY LYNN JOE (MD) – Emergency Medicine Physician, NPI 1063402659

DR. MARY LYNN JOE (MD) is a healthcare provider. based in Lawrence, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 158702 (MA). The NPI Number for DR. MARY LYNN JOE (MD) is 1063402659

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY LYNN JOE (MD)
NPI
1063402659
Phone
(978) 557-8800
Address
500 MERRIMACK ST
Enumeration Date
25 October 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5084958000
Graduation Year
1997 (29 years ago)
PAC ID
6305898610
Group Practice PAC ID
3476790601
Professional Enrollment ID
I20050215000687
Address ID
MA025365638TE273XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for DR. MARY LYNN JOE (MD)

  • Jimmy John's, 500, Merrimack Street, Lawrence, Essex County, Massachusetts, 01843, United States

    LAWRENCE, MA 018431756

    Phone: (978) 557-8800

    Fax: (978) 557-8633

    Type: Mailing

  • 360, Merrimack Street, Lawrence, Essex County, Massachusetts, 01842, United States

    LAWRENCE, MA 018431740

    Phone: (978) 557-8800

    Fax: (978) 557-8633

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-02-13 • Largest payer in this snapshot: Novo Nordisk Inc ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$19
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: 2005-02-15

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
I20050215000687IEmergency MedicineMATBD

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 minutes168167$0
99213Established patient office or other outpatient visit, 20-29 minutes125122$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b6969$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
81002Urinalysis, manual test4545$0
View full utilization report →

Insurance plans in this area (ZIP 01843)

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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: 3476790601View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. MARY LYNN JOE (MD)?
For DR. MARY LYNN JOE (MD), use NPI 1063402659 as the unique 10-digit identifier.
Is DR. MARY LYNN JOE (MD) shown as active in public data?
Registry records indicate DR. MARY LYNN JOE (MD) maintains an active NPI.
What expertise is attributed to DR. MARY LYNN JOE (MD)?
DR. MARY LYNN JOE (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARY LYNN JOE (MD)?
Travel planning: use Lawrence, Massachusetts as the reference point for DR. MARY LYNN JOE (MD), then confirm.
Can I trust this NPI listing for DR. MARY LYNN JOE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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