MARY ANN LEARY (DO) – Family Medicine Physician, NPI 1104810860

MARY ANN LEARY (DO) is a healthcare provider. based in Conshohocken, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS008302L (PA). The NPI Number for MARY ANN LEARY (DO) is 1104810860

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MARY ANN LEARY (DO)
NPI
1104810860
Phone
(610) 567-6967
Address
1 W ELM ST
Enumeration Date
8 September 2005
Last Update Date
25 March 2008

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6104897703
Graduation Year
1992 (34 years ago)
PAC ID
0446444160
Group Practice PAC ID
3678480290
Professional Enrollment ID
I20101027000171
Address ID
PA194263613CO201XXAVEX300
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

6,103 FAMILY PRACTICE in PA

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Provider Addresses for MARY ANN LEARY (DO)

  • 1, West Elm Street, Conshohocken, Montgomery County, Pennsylvania, 19428, United States

    SUITE 100

    CONSHOHOCKEN, PA 194282007

    Phone: (610) 567-6967

    Fax: (610) 567-6955

    Type: Mailing

  • 3301, Ridge Pike, Trooper, Eagleville, Lower Providence Township, Montgomery County, Pennsylvania, 19403, United States

    EAGLEVILLE, PA 194031411

    Phone: (610) 539-9100

    Fax: (610) 539-6570

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,120.

Total Amount is formed as General ($1,120) + Research ($0) + Ownership ($0) = $1,120.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: ABBVIE INC. ($203).

Total Amount

$1,120

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

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: 2010-10-27

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
I20101027000171IFamily PracticePATBD

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 minutes278194$0
99213Established patient office or other outpatient visit, 20-29 minutes10183$0
G0009Administration of pneumococcal vaccine8484$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use8282$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit7474$0
View full utilization report →

Insurance plans in this area (ZIP 19428)

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Provider's Procedures

MARY ANN LEARY (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle5454

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: 3678480290View full group profile
NameSpecialtyState
Family PracticePA
Family PracticeMN
Orthopedic SurgeryPA
Orthopedic Surgery, Sports MedicinePA
Physical Therapist In Private PracticeMN
P O D I A T R YDE
-MN
Family PracticePA
-PA
Family PracticeMN

Reviews

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Frequently asked questions

Can I use this page to confirm MARY ANN LEARY (DO)'s NPI?
Yes. MARY ANN LEARY (DO) is listed with NPI 1104810860 in the public NPI dataset.
Can I rely on MARY ANN LEARY (DO) being an active provider?
As of the registry snapshot, MARY ANN LEARY (DO) is marked active.
What is MARY ANN LEARY (DO)'s primary classification?
Family Medicine Physician is the headline specialty for MARY ANN LEARY (DO) here. Clinical services aligned with this taxonomy classification.
Does MARY ANN LEARY (DO) list a practice location?
Patients near Conshohocken, Pennsylvania may find MARY ANN LEARY (DO) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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