ZACHARY MALLON (MD) – Orthopaedic Trauma Physician, NPI 1932360427

ZACHARY MALLON (MD) is a healthcare provider. based in Carmichael, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. A109177 (CA). The NPI Number for ZACHARY MALLON (MD) is 1932360427

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY MALLON (MD)
NPI
1932360427
Phone
(916) 536-9455
Address
6620 COYLE AVE
Enumeration Date
18 June 2008
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076244000
Graduation Year
2008 (18 years ago)
PAC ID
5092852509
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20091102000063
Address ID
CA956889494VA1XXXXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

3,024 ORTHOPEDIC SURGERY in CA

Provider Addresses for ZACHARY MALLON (MD)

  • 6620 COYLE AVE

    SUITE 212

    CARMICHAEL, CA 956086333

    Phone: (916) 536-9455

    Fax: (916) 536-9424

    Type: Mailing

  • 1 QUALITY DR

    VACAVILLE, CA 956889494

    Phone: (707) 624-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $10,857.

Total Amount is formed as General ($10,857) + Research ($0) + Ownership ($0) = $10,857.

Last reported payment date: 2024-10-06 • Largest payer in this snapshot: Synthes GmbH ($10,818).

Total Amount

$10,857

General + Research + Ownership

Payments

17

Total payment records

General Amount

$10,857

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-06

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: 2009-11-02

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
I20091102000063IOrthopedic SurgeryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95608)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to ZACHARY MALLON (MD)?
NPI 1932360427 is assigned to ZACHARY MALLON (MD) under the national enumeration system.
Does this profile mean ZACHARY MALLON (MD) is currently active?
Yes — ZACHARY MALLON (MD) appears active in the national provider directory.
What kind of provider is ZACHARY MALLON (MD)?
The page reflects Orthopaedic Trauma Physician for ZACHARY MALLON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place ZACHARY MALLON (MD)?
The snapshot lists Carmichael, California for ZACHARY MALLON (MD); download NPPES for the complete set.
What if Carmichael, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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