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DR. MARY A WOODHOUSE MD
NPI 1598757635
Surgery in Saint Albans, VT

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
133 FAIRFIELD ST, SAINT ALBANS, VT 05478(802) 524-8974(802) 524-8970 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Mary A Woodhouse Md NPPES

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

DR. MARY A WOODHOUSE MD (NPI 1598757635) is an individual surgery provider in Saint Albans, Vermont, licensed in Vermont (042-0012230) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Copley Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1987).

NPPES Registry Identity

NPI1598757635
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. MARY A WOODHOUSECredential: MD
Location Address133 FAIRFIELD STSaint Albans, VT 05478-1726
Mailing Address133 Fairfield StSaint Albans, VT 05478-1726 · (802) 524-8974 · Fax (802) 524-8970
Phone(802) 524-8974
Fax(802) 524-8970
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1987
Enumeration DateAugust 16, 2005
Last NPPES UpdateOctober 25, 2013
✔ NPI 1598757635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VT · 042-0012230
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
133 FAIRFIELD ST, Saint Albans, VT 05478
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Other Identifiers 6

Medicaid1019237VT
Medicaid01400031NY
Medicare UPINF52327
Other11124992Caqh Provider #
Medicare ID-Type Unspecified33431I
Medicare PIN002214401VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Dr. Mary A Woodhouse 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 ID2062311541
PECOS Enrollment IDI20110725000011
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 9

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
43 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

MR. KEVAN M STERNBERG M.D.
Urology
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Franklin County (802) 524-0719
MR. JOSHUA BRYAN DUNN APRN
Nurse Practitioner (Acute Care)
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Franklin County (802) 524-5911
NORTHWESTERN MEDICAL CENTER, INC
Pediatrics
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Franklin County (802) 524-1040
AARON MARTIN BRILLHART MD
Emergency Medicine
133 FAIRFIELD ST, NORTHWESTERN MEDICAL CENTER
SAINT ALBANS, VT 05478
Franklin County (802) 524-5911
CHAMPLAIN IMAGING
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Franklin County (800) 927-0002
MRS. SARAH W NIELSEN PT
Physical Therapist
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Franklin County (802) 524-1064
LUIS F GONZALEZ M.D.
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
ST ALBANS, VT 05478
Franklin County (802) 524-1058
NORTHWESTERN MEDICAL CENTER, INC.
Obstetrics & Gynecology
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Franklin County (802) 524-2229

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 Woodhouse's NPI number?

The NPI number for Mary Woodhouse is 1598757635. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Mary Woodhouse located?

Mary Woodhouse practices at 133 Fairfield St, Saint Albans, VT 05478. The listed phone number is (802) 524-8974.

What is Mary Woodhouse's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mary Woodhouse enrolled in Medicare?

Yes. Mary Woodhouse 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 Woodhouse accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Mary Woodhouse 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 Woodhouse affiliated with any hospitals?

According to CMS data, Mary Woodhouse is affiliated with Copley Hospital.

When was this NPI record last updated?

The NPPES record for Mary Woodhouse was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.