MARY ELIZABETH DEHAVEN (MD) – Surgery Physician, NPI 1285127266
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
Provider Addresses for MARY ELIZABETH DEHAVEN (MD)
230 N Broad St
Philadelphia, PA 191021121
Phone: (215) 762-7000
Type: Location
Hahnemann University Hospital, 230, North Broad Street, Fashion District Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19102, United States
PHILADELPHIA, PA 191021121
Phone: (215) 762-7000
Type: Location
1177 N ROAD ST
ELIZABETH CITY, NC 279093388
Phone: (252) 384-2560
Fax: (252) 335-9997
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $551.
Total Amount is formed as General ($551) + Research ($0) + Ownership ($0) = $551.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($224).
Total Amount
$551
General + Research + Ownership
Payments
5
Total payment records
General Amount
$551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $224 |
| Medical Device Business Services, Inc. | $139 |
| CONMED Corporation | $111 |
| Medtronic, Inc. | $76 |
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: 2024-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241118003466 | I | General Surgery | NC | 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 19102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Family Practice | NC | |
| Physician Assistant | NC | |
| General Surgery | NC | |
| Nurse Practitioner | NC | |
| General Surgery | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| Certified Nurse Midwife (Cnm) | NC | |
| - | VA |
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