DR. MARIEL BIRD (D.O.) – Dermatology Physician, NPI 1093020133

DR. MARIEL BIRD (D.O.) is a healthcare provider. based in Boardman, Ohio. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 006424 (AZ). The NPI Number for DR. MARIEL BIRD (D.O.) is 1093020133

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIEL BIRD (D.O.)
NPI
1093020133
Phone
(330) 965-8760
Address
987 BOARDMAN CANFIELD RD
Enumeration Date
13 August 2010
Last Update Date
18 February 2020

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
3309658760
Graduation Year
2010 (16 years ago)
PAC ID
0042434557
Group Practice PAC ID
3971561648
Professional Enrollment ID
I20200519001043
Address ID
OH445124222BO987XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:15State licenses:3Digital endpointsOther names

607 DERMATOLOGY in OH

Provider Addresses for DR. MARIEL BIRD (D.O.)

  • 987 BOARDMAN CANFIELD RD

    BOARDMAN, OH 445124222

    Phone: (330) 965-8760

    Fax: (602) 938-9325

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,342.

Total Amount is formed as General ($1,342) + Research ($0) + Ownership ($0) = $1,342.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($233).

Total Amount

$1,342

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2020-05-19

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
I20200519001043IDermatologyOHTBD

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 growths598134$0
99213Established patient office or other outpatient visit, 20-29 minutes497381$0
17000Destruction of precancer skin growth, 1 growth289213$0
17110Destruction of skin growth, 1-14 growths267210$0
11102Biopsy of related skin growth, first growth226206$0
View full utilization report →

Insurance plans in this area (ZIP 44512)

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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: 3971561648View full group profile
NameSpecialtyState
D E R M A T O L O G YNH
D E R M A T O L O G YNH
Nurse PractitionerOH
D E R M A T O L O G YOH
Physician AssistantNH
Physician AssistantOH
Physician AssistantNH
D E R M A T O L O G YNH
D E R M A T O L O G YOH
P A T H O L O G YNH

Reviews

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Frequently asked questions

What identifier follows DR. MARIEL BIRD (D.O.) across health systems?
The NPI 1093020133 uniquely identifies DR. MARIEL BIRD (D.O.) in U.S. healthcare data.
Should I treat DR. MARIEL BIRD (D.O.) as an active provider?
Patients and plans typically see DR. MARIEL BIRD (D.O.) as active in the national extract.
What does the directory say DR. MARIEL BIRD (D.O.) does?
Insurance directories may phrase it differently, but here DR. MARIEL BIRD (D.O.) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARIEL BIRD (D.O.)?
DR. MARIEL BIRD (D.O.) is associated with Boardman, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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