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MRS. MARY CLARE REVOLINSKY DYKIN MD
NPI 1790774099
Family Medicine in Westlake, OH

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
29325 HEALTH CAMPUS DR, STE 2, WESTLAKE, OH 44145(440) 835-6142(440) 899-4383 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2024, Nov 13, 2020 (2 updates tracked since 2020).

About Mrs. Mary Clare Revolinsky Dykin Md NPPES

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

MRS. MARY CLARE REVOLINSKY DYKIN MD (NPI 1790774099) is an individual family medicine provider in Westlake, Ohio, licensed in Ohio (35062525) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1790774099
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. MARY CLARE REVOLINSKY DYKINCredential: MD
Location Address29325 HEALTH CAMPUS DR, STE 2Westlake, OH 44145-8201
Mailing Address26908 Detroit Rd, Suite 301Westlake, OH 44145-2398 · (440) 617-1823 · Fax (440) 617-0884
Phone(440) 835-6142
Fax(440) 899-4383
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1990
Enumeration DateOctober 19, 2005
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1790774099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35062525
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
29325 HEALTH CAMPUS DR, Westlake, OH 44145
Open in Google Maps ↗

Other Identifiers 2

Medicaid0903455OH
OtherP00308460OH · Rr Medicare

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

Mrs. Mary Clare Revolinsky Dykin 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 ID2062448582
PECOS Enrollment IDI20050715000001
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 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.
35 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44145 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers33 claims60 services$5.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers22 claims22 services$0.84 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims20 services$9.26 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier13 claims360 services$5.31 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims3,971 services$0.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

DR. ROBERT JOHN KRAJCIK MD
Family Medicine
29325 HEALTH CAMPUS DR, SUITE 3
WESTLAKE, OH 44145
Cuyahoga County (440) 414-9400
WESTSHORE PRIMARY CARE ASSOC., INC.
Obstetrics & Gynecology
29325 HEALTH CAMPUS DR, SUITE 1
WESTLAKE, OH 44145
Cuyahoga County (440) 835-6996
MICHAEL J DOBROVICH DO
Internal Medicine
29325 HEALTH CAMPUS DR, STE 2
WESTLAKE, OH 44145
Cuyahoga County (440) 835-6142
DR. KATHERINE HOVSEPIAN EILENFELD D.O.
Internal Medicine (Hospice and Palliative Medicine)
29325 HEALTH CAMPUS DR, SUITE 2
WESTLAKE, OH 44145
Cuyahoga County (440) 835-6142
OUTREACH PROFESSIONAL SERVICES INC
Obstetrics & Gynecology
29325 HEALTH CAMPUS DR, SUITE 1
WESTLAKE, OH 44145
Cuyahoga County (440) 835-6996
DR. LORI A RUSTERHOLTZ MD
Internal Medicine (Cardiovascular Disease)
29325 HEALTH CAMPUS DR, SUITE 3
WESTLAKE, OH 44145
Cuyahoga County (440) 414-9400
CENTER FOR ORTHOPEDICS, INC
Durable Medical Equipment & Medical Supplies
29325 HEALTH CAMPUS DR, SUITE 3
WESTLAKE, OH 44145
Cuyahoga County (440) 329-2800
ARASH RASHIDI M.D.
Internal Medicine (Nephrology)
29325 HEALTH CAMPUS DR, SUITE
WESTLAKE, OH 44145
Cuyahoga County (440) 414-9400

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 Revolinsky Dykin's NPI number?

The NPI number for Mary Revolinsky Dykin is 1790774099. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Mary Revolinsky Dykin located?

Mary Revolinsky Dykin practices at 29325 Health Campus Dr Ste 2, Westlake, OH 44145. The listed phone number is (440) 835-6142.

What is Mary Revolinsky Dykin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Revolinsky Dykin enrolled in Medicare?

Yes. Mary Revolinsky Dykin 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 Revolinsky Dykin was last updated on July 16, 2024. 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.