MARY E BRIESKE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1649267303

MARY E BRIESKE (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials MD. They hold a License No. 3842 (AK). The NPI Number for MARY E BRIESKE (MD) is 1649267303

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MARY E BRIESKE (MD)
NPI
1649267303
Phone
(801) 266-0055
Address
360 E 4500 S STE 4
Enumeration Date
28 September 2005
Last Update Date
3 March 2008

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8012660055
Graduation Year
1992 (34 years ago)
PAC ID
6204740780
Group Practice PAC ID
1355251521
Professional Enrollment ID
I20070221000051
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

Provider Addresses for MARY E BRIESKE (MD)

  • 360 E 4500 S STE 4

    SALT LAKE CITY, UT 841074297

    Phone: (801) 266-0055

    Fax: (801) 266-0056

    Type: Location

  • PO BOX 30309

    CHARLESTON, SC 294170309

    Phone: (843) 554-9300

    Fax: (843) 566-8780

    Type: Mailing

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: 2007-02-21

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
I20070221000051IPathologyUTTBD

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
84165Protein measurement, serum2,1691,528$0
86334Immunologic analysis technique on serum (immunofixation)1,4971,102$0
84166Protein measurement, body fluid468332$0
88305Pathology examination of tissue using a microscope, intermediate complexity330182$0
86335Immunologic analysis technique on body fluid, other fluids with concentration219195$0
View full utilization report →

Insurance plans in this area (ZIP 84107)

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Provider's Procedures

MARY E BRIESKE (MD) performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYUT88304Pathology examination of tissue using a microscope, moderately low complexity6157
PATHOLOGYUT88312Special stained specimen slides to identify organisms including interpretation and report3019

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: 1355251521View full group profile
NameSpecialtyState
P A T H O L O G YID
Hematology, PathologySC
-SC
P A T H O L O G YOR
-UT
P A T H O L O G YUT
P A T H O L O G YMI
P A T H O L O G YSC
P A T H O L O G YCA
P A T H O L O G YMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY E BRIESKE (MD)?
MARY E BRIESKE (MD) — NPI 1649267303 — is the standard way to identify this listing.
Does CMS list MARY E BRIESKE (MD) as active?
Yes — MARY E BRIESKE (MD) is active in the NPI listing used on this page.
What taxonomy line describes MARY E BRIESKE (MD)?
For research purposes, treat MARY E BRIESKE (MD) as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does MARY E BRIESKE (MD) serve?
MARY E BRIESKE (MD)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
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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