DR. MARY ELLEN LEARY (MD) – Obstetrics & Gynecology Physician, NPI 1730186602

DR. MARY ELLEN LEARY (MD) is a healthcare provider. based in Centerville, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 35-063358 (OH). The NPI Number for DR. MARY ELLEN LEARY (MD) is 1730186602

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY ELLEN LEARY (MD)
NPI
1730186602
Phone
(937) 848-4850
Address
6438 WILMINGTON PIKE
Enumeration Date
6 July 2005
Last Update Date
18 January 2021

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9372987751
Graduation Year
1990 (36 years ago)
PAC ID
3779518808
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20051013000172
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
mleary178319@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,818 OBSTETRICS/GYNECOLOGY in OH

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Provider Addresses for DR. MARY ELLEN LEARY (MD)

  • Wilmington Pike, Centerville, Montgomery County, Ohio, 45440, United States

    SUITE 300

    CENTERVILLE, OH 45459

    Phone: (937) 848-4850

    Fax: (937) 848-4858

    Type: Location

  • 6438, Wilmington Pike, Centerville, Montgomery County, Ohio, 45459, United States

    SUITE 300

    CENTERVILLE, OH 45459

    Phone: (937) 848-4850

    Fax: (937) 848-4858

    Type: Mailing

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: 2005-10-13

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
I20051013000172IObstetrics/GynecologyOHTBD

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 minutes7171$0
99213Established patient office or other outpatient visit, 20-29 minutes4037$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3535$0
99212Established patient office or other outpatient visit, 10-19 minutes2220$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1212$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What is DR. MARY ELLEN LEARY (MD)'s NPI number?
DR. MARY ELLEN LEARY (MD)'s NPI is 1730186602 — the number used across U.S. healthcare to identify this provider.
Is DR. MARY ELLEN LEARY (MD) still an active registrant?
DR. MARY ELLEN LEARY (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MARY ELLEN LEARY (MD)?
At a glance, DR. MARY ELLEN LEARY (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. MARY ELLEN LEARY (MD) registered?
Use Centerville, Ohio as the headline location for DR. MARY ELLEN LEARY (MD) here.
Does DR. MARY ELLEN LEARY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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