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DR. MARY KATHLEEN SKOCH MD
NPI 1720067804
Pediatrics in Lakewood, OH

Active since January 17, 2006PECOS Enrolled
14701 DETROIT AVE, SUITE 250, LAKEWOOD, OH 44107(216) 221-5901(216) 221-5881 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mary Kathleen Skoch Md NPPES

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

DR. MARY KATHLEEN SKOCH MD (NPI 1720067804) is an individual pediatrics provider in Lakewood, Ohio, licensed in Ohio (35057882) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720067804
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY KATHLEEN SKOCHCredential: MD
Location Address14701 DETROIT AVE, SUITE 250Lakewood, OH 44107-4115
Mailing Address20826 Morewood PkwyRocky River, OH 44116-1447 · (440) 333-0653
Phone(216) 221-5901
Fax(216) 221-5881
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateDecember 6, 2011
✔ NPI 1720067804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35057882
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14701 DETROIT AVE, Lakewood, OH 44107
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Other Identifiers 3

Medicare ID-Type Unspecified7260511OH
Medicaid0794074OH
Medicare UPINE76748OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Kathleen Skoch Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44107 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

LEE A ROPPEL LPCC
Counselor (Professional)
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 668-6242
MAKENZIE DUTTON
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
JACK LOFTUS
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
AMY URBANOWICZ CANAS IMFT
Marriage & Family Therapist
14701 DETROIT AVE, SUITE 775
LAKEWOOD, OH 44107
Cuyahoga County (415) 609-2690
DEAWNA SMITH
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
DR. ABBY C LADER D.O.
Pediatrics
14701 DETROIT AVE, SUITE 250
LAKEWOOD, OH 44107
Cuyahoga County (216) 221-5901
KENDALL SMITH QMHS
Counselor (Mental Health)
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 578-8200
DANIEL VILAMAA
Case Manager/Care Coordinator
14701 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 831-6466

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 Skoch's NPI number?

The NPI number for Mary Skoch is 1720067804. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Mary Skoch located?

Mary Skoch practices at 14701 Detroit Ave Suite 250, Lakewood, OH 44107. The listed phone number is (216) 221-5901.

What is Mary Skoch's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Skoch enrolled in Medicare?

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

What insurance does Mary Skoch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Mary Skoch 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 Skoch was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.