DR. MARY F WELSH (M.D.) – Surgery Physician, NPI 1063406874

DR. MARY F WELSH (M.D.) is a healthcare provider. based in Wayne, New Jersey. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD054775L (PA). The NPI Number for DR. MARY F WELSH (M.D.) is 1063406874

Main info

Female
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY F WELSH (M.D.)
NPI
1063406874
Phone
(973) 894-1263
Address
PO BOX 4059
Enumeration Date
7 September 2005
Deactivation Date
25 March 2006
Reactivation Date
5 April 2006
Last Update Date
17 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095867900
Graduation Year
1971 (55 years ago)
PAC ID
0941249841
Group Practice PAC ID
5193137503
Professional Enrollment ID
I20050429000567
Address ID
NJ086903542HA1XXXXPLXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

984 GENERAL SURGERY in NJ

Provider Addresses for DR. MARY F WELSH (M.D.)

  • PO BOX 4059

    WAYNE, NJ 074744059

    Phone: (973) 894-1263

    Fax: (888) 972-3703

    Type: Mailing

  • 695 US HIGHWAY 46

    SUITE 400A

    FAIRFIELD, NJ 070041592

    Phone: (973) 894-1263

    Fax: (888) 972-3703

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Ethicon US, LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$18
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: 2005-04-29

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
I20050429000567IGeneral SurgeryNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07474)

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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: 5193137503View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NY
Diagnostic RadiologyMA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YNY
Nurse PractitionerNJ
Diagnostic RadiologyNJ
Internal Medicine, Pulmonary DiseaseNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

What number should I use to identify DR. MARY F WELSH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1063406874 for DR. MARY F WELSH (M.D.).
Should I treat DR. MARY F WELSH (M.D.) as an active provider?
Patients and plans typically see DR. MARY F WELSH (M.D.) as active in the national extract.
Which specialty label fits DR. MARY F WELSH (M.D.)?
NPPES ties DR. MARY F WELSH (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARY F WELSH (M.D.)?
DR. MARY F WELSH (M.D.) shows a connection to Wayne, New Jersey in registry-derived data.
Why is information missing for DR. MARY F WELSH (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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