MARY EID – Anatomic Pathology & Clinical Pathology Physician, NPI 1063828770

MARY EID is a healthcare provider. based in Fredericksburg, Virginia. specializing in DERMATOLOGY, DERMATOLOGY, PATHOLOGY. They hold a License No. 0101261981 (VA). The NPI Number for MARY EID is 1063828770

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY EID
NPI
1063828770
Phone
(925) 785-8210
Address
1985 JEFFERSON DAVIS HWY
Enumeration Date
2 July 2014
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5179935900
Graduation Year
2014 (12 years ago)
PAC ID
9739415506
Group Practice PAC ID
8628353380
Professional Enrollment ID
I20240214000289
Address ID
MI488643553OK2685XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

406 DERMATOLOGY in MD

Provider Addresses for MARY EID

  • 1985 JEFFERSON DAVIS HWY

    FREDERICKSBURG, VA 224016233

    Phone: (925) 785-8210

    Type: Mailing

  • 10 CENTER DR

    ROOM 2N208

    BETHESDA, MD 208920001

    Phone: (301) 594-5580

    Type: Location

  • 2148 IDLEWILD BLVD

    FREDERICKSBURG, VA 224012613

    Phone: (925) 785-8210

    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: 2024-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20190731003579IPathologyVATBD
I20200729000581IPathologyDCTBD
I20230609002318IPathologyILTBD
I20230927001561IPathologyMNTBD
I20240214000289IDermatologyMITBD
I20240326003346IPathologyWVTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity3,3802,073$0
88342Special stained specimen slides to examine tissue, initial procedure279242$0
88312Special stained specimen slides to identify organisms including interpretation and report187147$0
88304Pathology examination of tissue using a microscope, moderately low complexity182157$0
88341Special stained specimen slides to examine tissue, each additional procedure11965$0
View full utilization report →

Insurance plans in this area (ZIP 22401)

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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: 8628353380View full group profile
NameSpecialtyState
-MI
D E R M A T O L O G YTX
Physician AssistantMN
Plastic And Reconstructive SurgeryIL
Nurse PractitionerMI
D E R M A T O L O G YAZ
Physician AssistantMN
Physician AssistantIN
-IN
Physician AssistantIL

Reviews

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Frequently asked questions

Can I cross-check MARY EID using NPI 1063828770?
NPI 1063828770 belongs to MARY EID; compare other details if you need extra assurance.
Is MARY EID shown as active in public data?
Registry records indicate MARY EID maintains an active NPI.
What area of care is associated with MARY EID?
MARY EID's record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is MARY EID located near Fredericksburg?
MARY EID currently maps to Fredericksburg, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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