DR. MARY LOUISE SHOFF DMD
NPI 1609520931
Dentist - General Practice in Beverly Hills, CA

Active since February 06, 2022PECOS Enrolled
9465 WILSHIRE BLVD STE 450, BEVERLY HILLS, CA 90212(310) 274-0456 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2022, Feb 6, 2022 (2 updates tracked since 2022).

About Dr. Mary Louise Shoff Dmd NPPES

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

DR. MARY LOUISE SHOFF DMD (NPI 1609520931) is an individual general practice provider in Beverly Hills, California, licensed in California (107076) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609520931
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY LOUISE SHOFFCredential: DMD
Location Address9465 WILSHIRE BLVD STE 450Beverly Hills, CA 90212-2614
Mailing Address1380 Midvale Ave Apt 314Los Angeles, CA 90024-6246 · (530) 526-0926
Sole ProprietorNo
Enumeration DateFebruary 6, 2022
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1609520931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 107076
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9465 WILSHIRE BLVD STE 450, Beverly Hills, CA 90212

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Louise Shoff Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4842 HOLLYWOOD BLVD
Hollywood, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90212 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

Dentist (Periodontics)
9465 WILSHIRE BLVD STE 450
BEVERLY HILLS, CA 90212

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 Shoff's NPI number?

The NPI number for Mary Shoff is 1609520931. It was assigned to this individual provider in the NPPES registry on February 6, 2022.

Where is Mary Shoff located?

Mary Shoff practices at 9465 Wilshire Blvd Ste 450, Beverly Hills, CA 90212. The listed phone number is (310) 274-0456.

What is Mary Shoff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mary Shoff enrolled in Medicare?

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

Which organization bills Medicare for Mary Shoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Shoff reassigns Medicare benefits to Mission City Community Network, Inc. (Hollywood, CA). 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 Shoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Shoff accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 13 other insurers list Mary Shoff 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.

When was this NPI record last updated?

The NPPES record for Mary Shoff was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.