MARY C DYNES MD
NPI 1124013677
Radiology - Diagnostic Radiology in Mishawaka, IN

Q: What is Mary Dynes's NPI number?

The NPI number for Mary Dynes is 1124013677. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Mary Dynes's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mary Dynes was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment

620 W EDISON RD, SUITE 110, MISHAWAKA, IN 46545(574) 258-1100(574) 258-1101 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mary C Dynes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY C DYNES MD (NPI 1124013677) is an individual diagnostic radiology provider in Mishawaka, Indiana, licensed in Indiana (01055405) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Northwestern University Feinberg Medical School (1988).

NPPES Registry Identity

NPI1124013677

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameMARY C DYNESCredential: MD

Location Address620 W EDISON RD, SUITE 110Mishawaka, IN 46545-2784

Mailing Address620 W Edison Rd, Suite 110Mishawaka, IN 46545-2784 · (574) 258-1100 · Fax (574) 258-1101

Phone(574) 258-1100

Fax(574) 258-1101

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1988

Enumeration DateSeptember 12, 2005

Last NPPES UpdateMay 15, 2013

✔ NPI 1124013677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IN · 01055405

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 01055405 (IN)

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 01055405 (IN)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 01055405 (IN)

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 01055405 (IN)

Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License 01055405 (IN)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 01055405 (IN)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 01055405 (IN)

620 W EDISON RD, Mishawaka, IN 46545

Open in Google Maps ↗

Other Identifiers 3

Medicaid200357890IN

Medicare UPINF89196

Medicare PIN728230RRIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary C Dynes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608769161

PECOS Enrollment IDI20040209000835

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Dynes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Radiology, Inc

Same address

Diagnostic Radiology

620 W EDISON RD, SUITE 110
Mishawaka, IN 46545

Reassigned Medicare billing, Indiana enrollment
38 clinicians in this Medicare group

NPI 1578557815 (574) 258-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

200 services188 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

123 services122 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

67 services67 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

50 services50 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

33 services33 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

31 services31 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

18 services18 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

17 services17 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

16 services14 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

15 services15 patients

X-ray of chest, 2 views 71046

14 services14 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

13 services13 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

13 services13 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150018

Location600 E BlvdElkhart, IN 46514 · Elkhart County

Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151300

Location1020 High RdBremen, IN 46506 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMIR B PATEL MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

JAMES C FIELD MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (547) 258-1100

MARK J ORMSON MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

JOHN C HILL DO

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

FRANCOISE M DION MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

CHRISTINE MARSCH O'MALLEY MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

KATRINA T VANDERVEEN MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

DR. MICHAEL WAYNE DYE JR. M.D.

Radiology (Diagnostic Radiology)

620 W EDISON RD, STE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

MICHAEL T. BRENDLE M.D.

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

PEDRO A MIRO MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

DR. ALBERT W. CHO MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

MICHAEL WROBLEWSKI OT

Occupational Therapist

620 W EDISON RD
MISHAWAKA, IN 46545

St. Joseph County (574) 931-2805

JODY M BARBER MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, STE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

THOMAS K RHEE MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, STE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

RUSSELL B MIDKIFF MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

DAVID D'ANDREA MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

DANIEL A BOLL MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

KARL W SCHULTZ MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 100
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

RADIOLOGY, INC

Radiology (Diagnostic Radiology)

620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

ELDON W OLSON MD

Radiology (Diagnostic Radiology)

620 W EDISON RD, STE 110
MISHAWAKA, IN 46545

St. Joseph County (574) 258-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Dynes's NPI number?

The NPI number for Mary Dynes is 1124013677. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Mary Dynes located?

Mary Dynes practices at 620 W Edison Rd Suite 110, Mishawaka, IN 46545. The listed phone number is (574) 258-1100.

What is Mary Dynes's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mary Dynes enrolled in Medicare?

Yes. Mary Dynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Dynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dynes reassigns Medicare benefits to Radiology, Inc (Mishawaka, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Dynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Dynes accept?

Health plans from CareSource list Mary Dynes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Dynes affiliated with any hospitals?

According to CMS data, Mary Dynes is affiliated with Elkhart General Hospital, Memorial Hospital Of South Bend and Community Hospital Of Bremen Inc.

When was this NPI record last updated?

The NPPES record for Mary Dynes was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.