MARY JEAN WALL MD
NPI 1265405237
Radiology - Diagnostic Radiology in Cleveland, OH

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
1001 LAKESIDE AVE E STE 1200, CLEVELAND, OH 44114(216) 362-2000 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jean Wall Md NPPES

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

MARY JEAN WALL MD (NPI 1265405237) is an individual diagnostic radiology provider in Cleveland, Ohio, licensed in Ohio (35059303W) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Hahnemann Medical College And Hospital - Kansas City - Nlg (1982).

NPPES Registry Identity

NPI1265405237
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMARY JEAN WALLCredential: MD
Location Address1001 LAKESIDE AVE E STE 1200Cleveland, OH 44114-1172
Mailing Address108 W Main St, Po Box 305Bellevue, OH 44811-1328 · (419) 483-4543 · Fax (419) 483-0142
Sole ProprietorNo
Medical School CMSHahnemann Medical College And Hospital - Kansas City - NlgGraduated 1982
Enumeration DateFebruary 9, 2006
Last NPPES UpdateNovember 19, 2007
NPI 1265405237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OH · 35059303W
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1001 LAKESIDE AVE E STE 1200, Cleveland, OH 44114

Other Identifiers 12

Medicaid1018989380001PA
Medicare UPINE59751
Medicare PIN117710W3RPA
Medicaid1018989380003PA
Medicare PIN4030138OH
Medicare PIN4205301WV
Medicaid1018989380002PA
Medicaid3810008142WV
OtherP00286495OH · Railroad Mc
Other000000339383OH · Anthem
Medicaid0783022OH
Medicare PINWA0895638OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Jean Wall 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 ID9032182829
PECOS Enrollment IDI20040819000075
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.

Areas of Expertise CMS Part B claims 35

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,758 services1,758 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,757 services1,757 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
332 services332 patients
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.
293 services256 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
163 services145 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
138 services128 patients

Hospital Affiliations CMS Care Compare 5

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44114 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Wall's NPI number?

The NPI number for Mary Wall is 1265405237. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Mary Wall located?

Mary Wall practices at 1001 Lakeside Ave E Ste 1200, Cleveland, OH 44114. The listed phone number is (216) 362-2000.

What is Mary Wall's specialty?

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

Is Mary Wall enrolled in Medicare?

Yes. Mary Wall 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.

What insurance does Mary Wall accept?

Health plans from CareSource list Mary Wall 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 Wall affiliated with any hospitals?

According to CMS data, Mary Wall is affiliated with Fairfield Medical Center, Mercy Health - Tiffin Hospital, Mercy St Vincent Medical Center, Adena Regional Medical Center and Mercy Health - Defiance Hospital.

When was this NPI record last updated?

The NPPES record for Mary Wall was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.