PAUL F MAZZARA (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1952415887
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
573 PATHOLOGY in MI
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Provider Addresses for PAUL F MAZZARA (MD)
St. John Hospital and Medical Center, 22101, Moross Road, Detroit, Wayne County, Michigan, 48236, United States
DETROIT, MI 482362148
Phone: (313) 343-4000
Fax: (313) 881-4727
Type: Location
5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436141509
Phone: (800) 288-8325
Fax: (419) 866-5453
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($117).
Total Amount
$117
General + Research + Ownership
Payments
3
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $117 |
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: 2004-07-12
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 |
|---|---|---|---|---|
| I20040712000726 | I | Pathology | MI | 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 |
|---|---|---|---|---|
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 716 | 624 | $0 |
| 88121 | Cell examination of urine, computer-assisted | 161 | 144 | $0 |
| 88120 | Cell examination of urine, manual | 18 | 18 | $0 |
Insurance plans in this area (ZIP 48236)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | MI | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 66 | 58 |
| PATHOLOGY | MI | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 68 | 47 |
| PATHOLOGY | MI | 88342 | Tissue or cell analysis by immunologic technique | 26 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MI | |
| Physician Assistant | OH | |
| P A T H O L O G Y | IL | |
| Colorectal Surgery (Proctology) | OH | |
| P A T H O L O G Y | MI | |
| Gastroenterology, Internal Medicine | MI | |
| General Surgery, Colorectal Surgery (Proctology) | MI | |
| Gastroenterology, Internal Medicine | MI | |
| Physician Assistant | MI | |
| P A T H O L O G Y | MI |
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