DR. MARYA L CASSANDRA (DO) – Dermatology Physician, NPI 1912979386

DR. MARYA L CASSANDRA (DO) is a healthcare provider. based in Columbus, Ohio. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 34.009168 (OH). The NPI Number for DR. MARYA L CASSANDRA (DO) is 1912979386

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARYA L CASSANDRA (DO)
NPI
1912979386
Phone
(614) 777-1200
Address
1047 PERRY ST
Enumeration Date
1 February 2006
Last Update Date
11 May 2011

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
4183657380
Group Practice PAC ID
7214086115
Professional Enrollment ID
I20090616000783
Address ID
OH430262496Hi3853XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

607 DERMATOLOGY in OH

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Provider Addresses for DR. MARYA L CASSANDRA (DO)

  • 1047, Perry Street, Founders Park, Harrison West, Columbus, Franklin County, Ohio, 43201, United States

    COLUMBUS, OH 432013379

    Phone: (614) 777-1200

    Type: Mailing

  • Trueman Court, Hilliard, Norwich Township, Franklin, Ohio, 43026, United States

    HILLIARD, OH 430262496

    Phone: (614) 777-1200

    Fax: (614) 777-1294

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,403.

Total Amount is formed as General ($1,403) + Research ($0) + Ownership ($0) = $1,403.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($329).

Total Amount

$1,403

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2009-06-16

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
I20090616000783IDermatologyOHTBD

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 growths1,318212$0
99213Established patient office or other outpatient visit, 20-29 minutes578445$0
17000Destruction of precancer skin growth, 1 growth372275$0
11102Biopsy of related skin growth, first growth218189$0
99214Established patient office or other outpatient visit, 30-39 minutes188136$0
View full utilization report →

Insurance plans in this area (ZIP 43201)

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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: 7214086115View full group profile
NameSpecialtyState
D E R M A T O L O G YOH
D E R M A T O L O G YFL
D E R M A T O L O G YOH
D E R M A T O L O G YOH
Physician AssistantOH
Physician AssistantOH
D E R M A T O L O G YAL

Reviews

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Frequently asked questions

Does DR. MARYA L CASSANDRA (DO) have a public NPI I can cite?
Public records show DR. MARYA L CASSANDRA (DO) under NPI 1912979386.
Is DR. MARYA L CASSANDRA (DO)'s NPI status active today?
Active status means DR. MARYA L CASSANDRA (DO)'s NPI record is not deactivated in the public file.
How should patients interpret DR. MARYA L CASSANDRA (DO)'s specialty?
The extract shows Dermatology Physician for DR. MARYA L CASSANDRA (DO). Clinical services aligned with this taxonomy classification.
Is DR. MARYA L CASSANDRA (DO) tied to Columbus, Ohio?
If you are local to Columbus, Ohio, DR. MARYA L CASSANDRA (DO) may be relevant to your search.
Why is information missing for DR. MARYA L CASSANDRA (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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