MARY BETH COURETAS (PA-C) – Physician Assistant, NPI 1912474875

MARY BETH COURETAS (PA-C) is a healthcare provider. based in Lake orion, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008904 (MI). The NPI Number for MARY BETH COURETAS (PA-C) is 1912474875

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH COURETAS (PA-C)
NPI
1912474875
Phone
(573) 690-1877
Address
2448 ARMSTRONG DR
Enumeration Date
30 October 2018
Last Update Date
23 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486614100
Graduation Year
2018 (8 years ago)
PAC ID
8325392236
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20181113001014
Address ID
MI483223013WE6777XRDXX404

Contacts

Secure Messaging
mcouretas548429@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

6,112 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MARY BETH COURETAS (PA-C)

  • 2448 ARMSTRONG DR

    LAKE ORION, MI 483601909

    Phone: (573) 690-1877

    Type: Mailing

  • William Beaumont Hospital (Troy campus), 44201, Dequindre Road, Troy, Macomb County, Michigan, 48085, United States

    TROY, MI 480851117

    Phone: (248) 964-5000

    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 $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($98).

Total Amount

$98

General + Research + Ownership

Payments

1

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

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: 2018-11-13

PECOS data refreshed: 2026-06-15

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
I20181113001014IPhysician AssistantMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 48360)

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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: 0547178311View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY BETH COURETAS (PA-C)?
MARY BETH COURETAS (PA-C) — NPI 1912474875 — is the standard way to identify this listing.
Does the file indicate MARY BETH COURETAS (PA-C) is practicing under active NPI?
Directory data currently reports MARY BETH COURETAS (PA-C) as active.
What is MARY BETH COURETAS (PA-C)'s specialty?
The listing groups MARY BETH COURETAS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MARY BETH COURETAS (PA-C) serve?
MARY BETH COURETAS (PA-C)'s listing highlights Lake Orion, Michigan; more addresses can appear in NPPES.
Why does MARY BETH COURETAS (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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