DR. MARY PATRICIA LIST (MD) – Dermatology Physician, NPI 1013440874
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for DR. MARY PATRICIA LIST (MD)
7335 Yankee Rd Ste 202
Liberty Township, OH 450441253
Phone: (513) 579-9191
Type: Location
2139 Auburn Ave
Cincinnati, OH 452192906
Phone: (513) 585-0855
Type: Location
545, Barnhill Drive, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 462025112
Phone:
Type: Mailing
PO BOX 255228
SACRAMENTO, CA 958655228
Phone: (800) 470-0071
Type: Mailing
2261 DOUGLAS BLVD
ROSEVILLE, CA 956613831
Phone: (916) 797-4766
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $397.
Total Amount is formed as General ($397) + Research ($0) + Ownership ($0) = $397.
Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Incyte Corporation ($122).
Total Amount
$397
General + Research + Ownership
Payments
4
Total payment records
General Amount
$397
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $122 |
| Amgen Inc. | $119 |
| Journey Medical Corporation | $101 |
| Lilly USA, LLC | $55 |
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: 2025-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230926002119 | I | Dermatology | OH | TBD |
| I20250820004774 | I | Dermatology | CA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 88 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 22 | 22 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 12 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 45044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Allergy/Immunology, Rheumatology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
Reviews
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