MARIANN M CHANNELL (MD) – Ophthalmology Physician, NPI 1225030596

MARIANN M CHANNELL (MD) is a healthcare provider. based in St clair shores, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 4301043844 (MI). The NPI Number for MARIANN M CHANNELL (MD) is 1225030596

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
MARIANN M CHANNELL (MD)
NPI
1225030596
Phone
(586) 774-0393
Address
21711 GREATER MACK AVE
Enumeration Date
1 June 2005
Last Update Date
3 June 2008

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8107740393
Graduation Year
1980 (46 years ago)
PAC ID
5597839159
Group Practice PAC ID
3173562824
Professional Enrollment ID
I20100825000325
Address ID
MI480802418SA21711AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

844 OPHTHALMOLOGY in MI

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Provider Addresses for MARIANN M CHANNELL (MD)

  • Greater Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    ST CLAIR SHORES, MI 480802418

    Phone: (586) 774-0393

    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 14 Open Payments records for all available years, with a total value of $368.

Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($139).

Total Amount

$368

General + Research + Ownership

Payments

14

Total payment records

General Amount

$368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2010-08-25

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
I20100825000325IOphthalmologyMITBD

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
92012Established patient problem focused exam of visual system613328$0
92014Established patient complete exam of visual system390387$0
92250Photography of the retina343285$0
92083Exam of visual field with extended testing202200$0
92133Imaging of optic nerve197196$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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Provider's Procedures

MARIANN M CHANNELL (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMI92012Eye and medical examination for diagnosis and treatment, established patient863453

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: 3173562824View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
-MI
O P H T H A L M O L O G YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

What is MARIANN M CHANNELL (MD)'s NPI number?
MARIANN M CHANNELL (MD)'s NPI is 1225030596 — the number used across U.S. healthcare to identify this provider.
Is MARIANN M CHANNELL (MD) still an active registrant?
MARIANN M CHANNELL (MD) carries an active NPI according to the public dataset.
What kind of doctor is MARIANN M CHANNELL (MD)?
MARIANN M CHANNELL (MD) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARIANN M CHANNELL (MD)?
Travel planning: use St Clair Shores, Michigan as the reference point for MARIANN M CHANNELL (MD), then confirm.
Can I trust this NPI listing for MARIANN M CHANNELL (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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