DR. MARY JO CANNON MD
NPI 1619216835
Family Medicine - Addiction Medicine in Gaithersburg, MD

Q: What is Mary Jo Cannon's NPI number?

The NPI number for Mary Jo Cannon is 1619216835. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Q: What is Mary Jo Cannon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Mary Jo Cannon was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 07, 2013PECOS EnrolledAccepts Medicare Assignment

8945 N WESTLAND DR, GAITHERSBURG, MD 20877(301) 330-0006 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Jul 18, 2023 (2 updates tracked since 2023).

On this page

About Dr. Mary Jo Cannon Md NPPES

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

DR. MARY JO CANNON MD (NPI 1619216835) is an individual addiction medicine provider in Gaithersburg, Maryland, licensed in Maryland (D28907) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1981).

NPPES Registry Identity

NPI1619216835

Entity TypeIndividualFemale

Primary Taxonomy207QA0401X

Provider Legal NameDR. MARY JO CANNONCredential: MD

Location Address8945 N WESTLAND DRGaithersburg, MD 20877-1249

Mailing Address20909 Sunnyacres RdGaithersburg, MD 20882-1248 · (240) 330-2430

Phone(301) 330-0006

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1981

Enumeration DateFebruary 7, 2013

Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1619216835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in MD · D28907

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

8945 N WESTLAND DR, Gaithersburg, MD 20877

Open in Google Maps ↗

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 Jo Cannon 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 ID6204130750

PECOS Enrollment IDI20160204000199

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services46 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

36 services26 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

31 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 6

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

ANA KHAN

Counselor (Mental Health)

8945 N WESTLAND DR
GAITHERSBURG, MD 20877

Montgomery County (301) 330-0006

MS. YVONNE NACION SWANN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

8945 N WESTLAND DR
GAITHERSBURG, MD 20877

Montgomery County (301) 330-0006

SY-MED DECOMPRESSION INC.

Chiropractor

8945 N WESTLAND DR, SUITE 100
GAITHERSBURG, MD 20877

Montgomery County (301) 947-8883

PARENTS CHOICE PEDIATRIC AND OCCUPATIONAL THERAPY CENER

Clinic/Center

8945 N WESTLAND DR, SUITE 200 A
GAITHERSBURG, MD 20877

Montgomery County (301) 366-3844

KELSEY O'DONNELL LCSW-C

Social Worker (Clinical)

8945 N WESTLAND DR
GAITHERSBURG, MD 20877

Montgomery County (301) 330-0006

DR. CHARLES JEFFRY KESSLER MD

Pediatrics (Pediatric Gastroenterology)

8945 N WESTLAND DR, SUITE 100
GAITHERSBURG, MD 20877

Montgomery County (301) 869-1230

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 Jo Cannon's NPI number?

The NPI number for Mary Jo Cannon is 1619216835. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Where is Mary Jo Cannon located?

Mary Jo Cannon practices at 8945 N Westland Dr, Gaithersburg, MD 20877. The listed phone number is (301) 330-0006.

What is Mary Jo Cannon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Mary Jo Cannon enrolled in Medicare?

Yes. Mary Jo Cannon 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.

When was this NPI record last updated?

The NPPES record for Mary Jo Cannon was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.