MARY JO KENDRICK (M.D.) – Dermatopathology Physician, NPI 1114097623
Dermatopathology Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
609 DERMATOLOGY in OH
Provider Addresses for MARY JO KENDRICK (M.D.)
1450 COLUMBUS AVE STE 104
WASHINGTON COURT HOUSE, OH 431603701
Phone: (614) 268-2748
Type: Location
100 W 3rd Ave Ste 250
Columbus, OH 432017204
Phone: (614) 268-2748
Fax: (614) 263-3376
Type: Location
272 Hospital Rd Ste G15
Chillicothe, OH 456019031
Phone: (740) 779-8580
Type: Location
Far Hills Avenue, Oakwood, Montgomery County, Ohio, 45469, United States
DAYTON, OH 454292347
Phone: (937) 433-7536
Fax: (937) 433-9612
Type: Mailing
Olentangy River Rd, Knolls-Thomas, Columbus, Sharon, Franklin, Ohio, 43214, United States
SUITE 4000
COLUMBUS, OH 432143912
Phone: (614) 268-2748
Fax: (614) 263-3376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Biofrontera Inc. ($24).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biofrontera Inc. | $24 |
| ABBVIE INC. | $23 |
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: 2008-07-08
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20080708000422 | I | Dermatology | OH | 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 | 2,729 | 487 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,039 | 906 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 825 | 642 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 601 | 495 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 316 | 190 | $0 |
Insurance plans in this area (ZIP 43160)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | OH |
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