MISS MARY GRACE MAGALONG (MD) – Pulmonary Disease Physician, NPI 1710080338

MISS MARY GRACE MAGALONG (MD) is a healthcare provider. based in Dothan, Alabama. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. A72152 (CA). The NPI Number for MISS MARY GRACE MAGALONG (MD) is 1710080338

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MISS MARY GRACE MAGALONG (MD)
NPI
1710080338
Phone
(334) 793-9564
Address
4300 W. MAIN STREET
Enumeration Date
7 September 2006
Last Update Date
13 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6613269999
Graduation Year
1990 (36 years ago)
PAC ID
5991727943
Group Practice PAC ID
9931268075
Professional Enrollment ID
I20051219000978
Address ID
CA933015725BA3805XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

185 CRITICAL CARE (INTENSIVISTS) in AL

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Provider Addresses for MISS MARY GRACE MAGALONG (MD)

  • 4300, West Main Street, Dothan, Houston County, Alabama, 36305, United States

    SUITE 102

    DOTHAN, AL 363051051

    Phone: (334) 793-9564

    Fax: (334) 671-8907

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Inari Medical, Inc. ($35).

Total Amount

$101

General + Research + Ownership

Payments

4

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051219000978ICritical Care (Intensivists)CATBD
I20130906000688IPulmonary DiseaseALTBD

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
99291Critical care, first 30-74 minutes654205$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7370$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6159$0
View full utilization report →

Insurance plans in this area (ZIP 36305)

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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: 9931268075View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Pulmonary Disease, Critical Care (Intensivists)CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

Does MISS MARY GRACE MAGALONG (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MISS MARY GRACE MAGALONG (MD) uses 1710080338.
Is MISS MARY GRACE MAGALONG (MD) listed as active for patients and plans?
The listing shows MISS MARY GRACE MAGALONG (MD) as active in the NPI system.
What is MISS MARY GRACE MAGALONG (MD) best known for clinically?
Directory data describes MISS MARY GRACE MAGALONG (MD) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where is MISS MARY GRACE MAGALONG (MD) based?
MISS MARY GRACE MAGALONG (MD) is tied to Dothan, Alabama in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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