MARY THERESA ANN LEWIS (M.D.) – Otolaryngology Physician, NPI 1023215969
Otolaryngology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
641 OTOLARYNGOLOGY in PA
Provider Addresses for MARY THERESA ANN LEWIS (M.D.)
2102 HARRISBURG PIKE STE 200
LANCASTER, PA 176012644
Phone: (253) 365-0262
Type: Mailing
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
2104 HARRISBURG PIKE STE 200
LANCASTER, PA 176012644
Phone: (717) 544-3626
Fax: (717) 544-3628
Type: Location
2601, West Main Street, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629011031
Phone: (618) 549-5361
Type: Location
1650 COCHRANE CIR
COLORADO SPRINGS, CO 809134613
Phone: (719) 524-6399
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $259.
Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: ABBVIE INC. ($195).
Total Amount
$259
General + Research + Ownership
Payments
10
Total payment records
General Amount
$259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $195 |
| KARL STORZ Endoscopy-America | $29 |
| AERIN MEDICAL INC. | $20 |
| Galderma Laboratories, L.P. | $15 |
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: 2018-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170427001650 | I | Otolaryngology | PA | TBD |
| I20180104000208 | I | Otolaryngology | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Addiction Medicine | PA | |
| N E U R O L O G Y | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Epileptologists, Neurology | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA |
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