DR. MARY NOEL GEORGE (MD) – Dermatology Physician, NPI 1700998077

DR. MARY NOEL GEORGE (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2006009450 (MO). The NPI Number for DR. MARY NOEL GEORGE (MD) is 1700998077

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY NOEL GEORGE (MD)
NPI
1700998077
Phone
(314) 344-0004
Address
8888 LADUE RD STE 120
Enumeration Date
31 August 2006
Last Update Date
4 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3149931714
Graduation Year
2002 (24 years ago)
PAC ID
7517977291
Group Practice PAC ID
1153689294
Professional Enrollment ID
I20060425000654
Address ID
MO631223356SA2325XRDXX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

337 DERMATOLOGY in MO

Provider Addresses for DR. MARY NOEL GEORGE (MD)

  • 8888 LADUE RD STE 120

    SAINT LOUIS, MO 631242056

    Phone: (314) 344-0004

    Fax: (314) 725-0696

    Type: Mailing

  • 12255, DePaul Drive, Bridgeton, Saint Louis County, Missouri, 63044, United States

    #845 - NORTH

    BRIDGETON, MO 630442530

    Phone: (314) 344-0004

    Fax: (314) 344-0631

    Type: Location

  • 12255, DePaul Drive, Natural Bridge Junction, Bridgeton, Saint Louis County, Missouri, 63044, United States

    # 845

    ST LOUIS, MO 63044

    Phone: (314) 344-0004

    Fax: (314) 344-0631

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 408 Open Payments records for all available years, with a total value of $208,551.

Total Amount is formed as General ($208,551) + Research ($0) + Ownership ($0) = $208,551.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($106,774).

Total Amount

$208,551

General + Research + Ownership

Payments

408

Total payment records

General Amount

$208,551

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2006-04-25

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
I20060425000654IDermatologyMOTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,614254$0
99213Established patient office or other outpatient visit, 20-29 minutes1,039637$0
17000Destruction of precancer skin growth, 1 growth398296$0
11102Biopsy of related skin growth, first growth239194$0
99214Established patient office or other outpatient visit, 30-39 minutes190143$0
View full utilization report →

Insurance plans in this area (ZIP 63124)

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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: 1153689294View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Physician AssistantMO
D E R M A T O L O G YMO
Physician AssistantTX
Physician AssistantMO
D E R M A T O L O G YMO
Physician AssistantMO
-MO

Reviews

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Frequently asked questions

What is DR. MARY NOEL GEORGE (MD)'s NPI number?
DR. MARY NOEL GEORGE (MD)'s NPI is 1700998077 — the number used across U.S. healthcare to identify this provider.
Would DR. MARY NOEL GEORGE (MD) appear as active to a payer?
You can treat DR. MARY NOEL GEORGE (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MARY NOEL GEORGE (MD)?
At a glance, DR. MARY NOEL GEORGE (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARY NOEL GEORGE (MD)?
Travel planning: use Saint Louis, Missouri as the reference point for DR. MARY NOEL GEORGE (MD), then confirm.
When was this NPI issued?
Enumeration for DR. MARY NOEL GEORGE (MD) is noted as August 31, 2006 where the registry provides it.

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