MARLENE WUST-SMITH (MD) – Pediatrics Physician, NPI 1194746958
Pediatrics Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for MARLENE WUST-SMITH (MD)
1001 E 2ND ST
COUDERSPORT, PA 169158161
Phone: (814) 274-9198
Fax: (814) 274-9120
Type: Mailing
45, Pine Street, Port Allegany, McKean County, Pennsylvania, 16743, United States
PORT ALLEGANY, PA 167431238
Phone: (814) 642-7205
Type: Location
45 N Pine St
Port Allegany, PA 167431238
Phone: (814) 642-7205
Type: Location
140 W Main St Ste 1
Cuba, NY 147271317
Phone: (716) 375-7500
Type: Location
1200 Driving Park Ave
Newark, NY 145131090
Phone: (315) 359-2660
Fax: (315) 359-2635
Type: Location
100 KINGS HWY S
ROCHESTER, NY 146175504
Phone: (315) 359-2660
Fax: (315) 359-2635
Type: Mailing
132 W MAIN ST
CUBA, NY 147271317
Phone: (716) 375-7500
Type: Location
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: 2024-04-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110228000498 | I | Pediatric Medicine | PA | TBD |
| I20190730002658 | I | Pediatric Medicine | NY | TBD |
| I20240417003099 | I | Pediatric Medicine | CA | 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 16915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | TX | |
| Internal Medicine | PA | |
| Clinical Psychologist | TX | |
| - | GA | |
| - | TN | |
| Internal Medicine | GA | |
| Mental Health Counselor | TX | |
| - | FL | |
| Family Practice | TX | |
| Clinical Psychologist | CO |
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