MARY KATHLEEN CORBETT (MD) – Family Medicine Physician, NPI 1376861930

MARY KATHLEEN CORBETT (MD) is a healthcare provider. based in Lakewood, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.121137 (OH). The NPI Number for MARY KATHLEEN CORBETT (MD) is 1376861930

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARY KATHLEEN CORBETT (MD)
NPI
1376861930
Phone
(216) 529-7125
Address
11851 DETROIT AVE
Enumeration Date
6 May 2010
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
2166715006
Graduation Year
2010 (16 years ago)
PAC ID
3678707809
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20131001000563
Address ID
OH441073016LA11851AVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for MARY KATHLEEN CORBETT (MD)

  • 11851 DETROIT AVE

    LAKEWOOD, OH 441073016

    Phone: (216) 529-7125

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-10-01

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
I20131001000563IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14187$0
99215Established patient office or other outpatient visit, 40-54 minutes3023$0
99213Established patient office or other outpatient visit, 20-29 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 44107)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What NPI should I save for MARY KATHLEEN CORBETT (MD)?
Save NPI 1376861930 if you need a stable reference for MARY KATHLEEN CORBETT (MD).
Is MARY KATHLEEN CORBETT (MD) currently active in the NPI registry?
CMS-published data lists MARY KATHLEEN CORBETT (MD) as an active registrant.
Can you summarize MARY KATHLEEN CORBETT (MD)'s specialty in plain language?
Clinically, the directory lists MARY KATHLEEN CORBETT (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MARY KATHLEEN CORBETT (MD)?
The snapshot lists Lakewood, Ohio for MARY KATHLEEN CORBETT (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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