DR. MARY ELLEN VANDERLICK (MD) – Neurology Physician, NPI 1144285842
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,742 NEUROLOGY in TX
Provider Addresses for DR. MARY ELLEN VANDERLICK (MD)
6700 WEST LOOP S STE 400
BELLAIRE, TX 774014120
Phone: (713) 795-4785
Fax: (713) 795-5426
Type: Mailing
Memorial Hermann Medical Plaza, 6400, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
SUITE 2070
HOUSTON, TX 770301521
Phone: (713) 704-7100
Fax: (713) 704-1796
Type: Mailing
Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 77030
Phone: (713) 704-6731
Fax: (713) 704-1796
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 563 Open Payments records for all available years, with a total value of $12,650.
Total Amount is formed as General ($12,650) + Research ($0) + Ownership ($0) = $12,650.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($2,010).
Total Amount
$12,650
General + Research + Ownership
Payments
563
Total payment records
General Amount
$12,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,010 |
| Amneal Pharmaceuticals LLC | $1,181 |
| UCB, Inc. | $1,058 |
| Alexion Pharmaceuticals, Inc. | $846 |
| Lundbeck LLC | $454 |
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: 2009-12-30
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 |
|---|---|---|---|---|
| I20091230000485 | I | Neurology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 15,900 | 25 | $0 |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 6,130 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 250 | 162 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 213 | 140 | $0 |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 194 | 17 | $0 |
Insurance plans in this area (ZIP 77401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| Neurology, Hospitalist | CA | |
| - | TX | |
| - | TX | |
| Physician Assistant | TX | |
| N E U R O L O G Y | TN | |
| N E U R O L O G Y | TX | |
| - | TX |
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