DR. MARSHALL P. MALLORY (M.D.) – Diagnostic Radiology Physician, NPI 1083620447

DR. MARSHALL P. MALLORY (M.D.) is a healthcare provider. based in Gadsden, Alabama. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 244168 (NY). The NPI Number for DR. MARSHALL P. MALLORY (M.D.) is 1083620447

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARSHALL P. MALLORY (M.D.)
NPI
1083620447
Phone
(888) 318-8900
Address
20 INDIAN PINE TRCE W
Enumeration Date
31 July 2006
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4106019000
Graduation Year
1983 (43 years ago)
PAC ID
4789636267
Group Practice PAC ID
3678751468
Professional Enrollment ID
I20221219001503
Address ID
MD212155216BA2401XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

579 DIAGNOSTIC RADIOLOGY in AL

Provider Addresses for DR. MARSHALL P. MALLORY (M.D.)

  • 20 INDIAN PINE TRCE W

    GADSDEN, AL 359017240

    Phone: (888) 318-8900

    Fax: (408) 370-9131

    Type: Location

  • PO BOX 320757

    LOS GATOS, CA 950320112

    Phone: (888) 318-8900

    Fax: (408) 370-9131

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050211000851IDiagnostic RadiologyALTBD
I20220301000588IDiagnostic RadiologyNYTBD
I20221219001503IDiagnostic RadiologyMDTBD
I20230807001628IDiagnostic RadiologyDCTBD
I20251009001517IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view622584$0
70450Ct scan head or brain without contrast313308$0
74177Ct scan of abdomen and pelvis with contrast129127$0
74176Ct scan of abdomen and pelvis without contrast110108$0
71275Ct scan of blood vessels of chest with contrast8786$0
View full utilization report →

Insurance plans in this area (ZIP 35901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678751468View full group profile
NameSpecialtyState
-MD
-CA
Diagnostic RadiologyVA
Diagnostic Radiology, Interventional RadiologyOH
-MD
Diagnostic RadiologyMD
-MD
Nuclear Medicine, Diagnostic RadiologyOH
Physician AssistantMD
Internal MedicineVA

Reviews

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Frequently asked questions

What is the standard ID for DR. MARSHALL P. MALLORY (M.D.) in the U.S.?
In the U.S., DR. MARSHALL P. MALLORY (M.D.) is identified by NPI 1083620447.
Is DR. MARSHALL P. MALLORY (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARSHALL P. MALLORY (M.D.) as active.
What services align with DR. MARSHALL P. MALLORY (M.D.)'s listing?
DR. MARSHALL P. MALLORY (M.D.)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARSHALL P. MALLORY (M.D.)?
DR. MARSHALL P. MALLORY (M.D.) is associated with Gadsden, Alabama in the same public data insurers reference.
Why is information missing for DR. MARSHALL P. MALLORY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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