MARY MELISSA BEASLEY (M. D.) – Neuroradiology Physician, NPI 1508204348

MARY MELISSA BEASLEY (M. D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M. D.. They hold a License No. ME159827 (FL). The NPI Number for MARY MELISSA BEASLEY (M. D.) is 1508204348

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARY MELISSA BEASLEY (M. D.)
NPI
1508204348
Phone
(513) 874-8111
Address
12029 SHERATON LN
Enumeration Date
13 June 2013
Last Update Date
29 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5619170138
Graduation Year
2013 (13 years ago)
PAC ID
2264726819
Group Practice PAC ID
3577813005
Professional Enrollment ID
I20210115001385
Address ID
KY400598706PR6402XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for MARY MELISSA BEASLEY (M. D.)

  • 12029 SHERATON LN

    CINCINNATI, OH 452461611

    Phone: (513) 874-8111

    Fax: (513) 860-6992

    Type: Mailing

  • 12029 Sheraton Ln

    Cincinnati, OH 452461611

    Phone: (513) 874-8111

    Fax: (513) 860-6992

    Type: Location

  • 2950 CLEVELAND CLINIC BLVD

    WESTON, FL 333313609

    Phone: (954) 659-5000

    Type: Mailing

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 $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Boston Scientific Corporation ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-17

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: 2021-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190812000418IDiagnostic RadiologyTNTBD
I20200526002177IDiagnostic RadiologyOHTBD
I20210115001385IDiagnostic RadiologyKYTBD

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
71045X-ray of chest, 1 view174162$0
70450Ct scan head or brain without contrast9292$0
74177Ct scan of abdomen and pelvis with contrast8382$0
71260Ct scan of chest with contrast7371$0
72148Mri scan of lower spinal canal without contrast3131$0
View full utilization report →

Insurance plans in this area (ZIP 45246)

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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: 3577813005View full group profile
NameSpecialtyState
Diagnostic RadiologyCO
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyNM
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyMN
Diagnostic RadiologyMD
Diagnostic RadiologyMI
Diagnostic RadiologyCO

Reviews

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Frequently asked questions

Is there an official ID for MARY MELISSA BEASLEY (M. D.) in U.S. healthcare records?
The official identifier for MARY MELISSA BEASLEY (M. D.) is NPI 1508204348.
Active or inactive — what applies to MARY MELISSA BEASLEY (M. D.)?
You should see MARY MELISSA BEASLEY (M. D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for MARY MELISSA BEASLEY (M. D.)?
At a glance, MARY MELISSA BEASLEY (M. D.) is tied to Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Is MARY MELISSA BEASLEY (M. D.) associated with Cincinnati?
Public fields place MARY MELISSA BEASLEY (M. D.) around Cincinnati, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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