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MARY DIANE KINSELLA M.D.
NPI 1205010790
Pathology - Anatomic Pathology & Clinical Pathology in Conyers, GA

Active since December 20, 2007PECOS Enrolled
92.93/100
CMS Quality Rating
1412 MILSTEAD AVE NE DEPT OF, CONYERS, GA 30012(678) 423-1550(678) 423-1550 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Aug 6, 2018 (2 updates tracked since 2018).

About Mary Diane Kinsella M.d. NPPES

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

MARY DIANE KINSELLA M.D. (NPI 1205010790) is an individual anatomic pathology & clinical pathology provider in Conyers, Georgia, licensed in Georgia (64527) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains a secondary practice location in Riverdale.

NPPES Registry Identity

NPI1205010790
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameMARY DIANE KINSELLACredential: M.D.
Location Address1412 MILSTEAD AVE NE DEPT OFConyers, GA 30012
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Phone(678) 423-1550
Fax(678) 423-1550
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2007
Enumeration DateDecember 20, 2007
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1205010790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in GA · 64527✔ Licensed in GA · 002586
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1412 MILSTEAD AVE NE DEPT OF, Conyers, GA 30012
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Other Names 1

Former Name (1)Mary Diane Darrow M.d.

Secondary Practice Location 1

Location 111 Upper Riverdale Rd SW, Southern Regional Hospital-Department of PathologyRiverdale, GA 30274 · Phone (678) 423-1550 · Fax (678) 423-1550

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Diane Kinsella M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840456802
PECOS Enrollment IDI20120720000025
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 Reassignments

4

Medicare enrollment records show Mary Kinsella reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Suburban Pathologists PC
0.6 mi
Anatomic Pathology & Clinical Pathology
141 MILSTEAD AVE NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1720016801 (678) 423-1550
Pathology And Laboratory Medicine, PC
26 mi
Anatomic Pathology & Clinical Pathology
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1649494816 (770) 458-6103
Gastrointestinal Specialist Of Georgia
37 mi
Gastroenterology
711 CANTON RD NE, SUITE 300
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 51 clinicians in this Medicare group
NPI 1801975339 (678) 741-5000
City Of Hope Medical Group Of Georgia LLC
48 mi
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
NPI 1447520333 (847) 746-4333

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 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,017 services465 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
995 services452 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
300 services276 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
188 services100 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
137 services87 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
115 services115 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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 Kinsella's NPI number?

The NPI number for Mary Kinsella is 1205010790. It was assigned to this individual provider in the NPPES registry on December 20, 2007. The provider is also known as Mary Diane Darrow M.D..

Where is Mary Kinsella located?

Mary Kinsella practices at 1412 Milstead Ave NE Dept Of, Conyers, GA 30012. The listed phone number is (678) 423-1550.

What is Mary Kinsella's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mary Kinsella enrolled in Medicare?

Yes. Mary Kinsella is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Kinsella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kinsella reassigns Medicare benefits to 4 organizations: South Suburban Pathologists PC (Conyers, GA), Pathology And Laboratory Medicine, PC (Atlanta, GA), Gastrointestinal Specialist Of Georgia (Marietta, GA) and City Of Hope Medical Group Of Georgia LLC (Newnan, GA). Each 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 Kinsella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Kinsella accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Mary Kinsella 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 Kinsella affiliated with any hospitals?

According to CMS data, Mary Kinsella is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Mary Kinsella was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.