MATTHEW LAYNE MALLORY (M.D.) – Radiation Oncology Physician, NPI 1194145532

MATTHEW LAYNE MALLORY (M.D.) is a healthcare provider. based in Rogers, Arkansas. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 0442072 (KS). The NPI Number for MATTHEW LAYNE MALLORY (M.D.) is 1194145532

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW LAYNE MALLORY (M.D.)
NPI
1194145532
Phone
(479) 587-1700
Address
808 S 52nd St
Enumeration Date
24 April 2014
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
8166912280
Graduation Year
2014 (12 years ago)
PAC ID
1153546080
Group Practice PAC ID
6305748153
Professional Enrollment ID
I20191112002474
Address ID
MO641163237NO2750XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

52 RADIATION ONCOLOGY in AR

Provider Addresses for MATTHEW LAYNE MALLORY (M.D.)

  • 808 S 52nd St

    Rogers, AR 727588602

    Phone: (479) 587-1700

    Fax: (479) 587-1366

    Type: Location

  • 3901 Rainbow Blvd

    MS 4033

    Kansas City, KS 661608500

    Phone: (913) 588-3600

    Fax: (913) 588-3663

    Type: Location

  • 2220 CANTERBURY DR

    HAYS, KS 676012370

    Phone: (785) 623-5774

    Type: Mailing

  • 60 E MONTE PAINTER DR

    FAYETTEVILLE, AR 727034014

    Phone: (479) 587-1700

    Fax: (479) 587-1366

    Type: Location

  • 2750 Clay Edwards Dr Lowr Level

    North Kansas City, MO 641163237

    Phone: (816) 691-5216

    Fax: (816) 346-7869

    Type: Location

  • 222 E DUNBAR LN APT 326

    FAYETTEVILLE, AR 727033276

    Phone: (434) 258-4408

    Fax: (479) 587-1366

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $349.

Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.

Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Rigel Pharmaceuticals, Inc. ($36).

Total Amount

$349

General + Research + Ownership

Payments

24

Total payment records

General Amount

$349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-25

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: 2019-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20191112002474IRadiation OncologyMOTBD

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
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session585150$0
77014Ct guidance for insertion of radiation therapy fields55974$0
77300Calculation of radiation therapy dose37673$0
77334Design and construction of complex radiation treatment device18676$0
77336Continuing radiation therapy consultation per week17265$0
View full utilization report →

Insurance plans in this area (ZIP 72758)

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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: 6305748153View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family Practice, Osteopathic Manipulative MedicineMO
-MO
-MO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerDE
General SurgeryMO
N E U R O L O G YMO
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

How is MATTHEW LAYNE MALLORY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MATTHEW LAYNE MALLORY (M.D.) with NPI 1194145532.
Is MATTHEW LAYNE MALLORY (M.D.) listed as active for patients and plans?
The listing shows MATTHEW LAYNE MALLORY (M.D.) as active in the NPI system.
What healthcare role does MATTHEW LAYNE MALLORY (M.D.) hold?
Scheduling teams often label MATTHEW LAYNE MALLORY (M.D.) under Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MATTHEW LAYNE MALLORY (M.D.)?
MATTHEW LAYNE MALLORY (M.D.)'s geographic hint is Rogers, Arkansas in our summary view.
Is the information about MATTHEW LAYNE MALLORY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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