JONATHAN MALLEN (MD) – Otolaryngology Physician, NPI 1396132478

JONATHAN MALLEN (MD) is a healthcare provider. based in Farmington, Connecticut. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 85498 (GA). The NPI Number for JONATHAN MALLEN (MD) is 1396132478

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN MALLEN (MD)
NPI
1396132478
Phone
Not provided
Address
263 FARMINGTON AVE
Enumeration Date
16 April 2015
Last Update Date
4 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6098907800
Graduation Year
2015 (11 years ago)
PAC ID
5092028555
Group Practice PAC ID
0143294074
Professional Enrollment ID
I20210902000011
Address ID
NJ086191284TR8XXXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

162 OTOLARYNGOLOGY in CT

Provider Addresses for JONATHAN MALLEN (MD)

  • 263 FARMINGTON AVE

    FARMINGTON, CT 060300001

    Phone:

    Type: Mailing

  • 400 MIDDLETOWN BLVD STE 100

    LANGHORNE, PA 190471819

    Phone: (215) 757-7300

    Type: Mailing

  • 8 Quakerbridge Plz Ste C

    Hamilton, NJ 086191255

    Phone: (609) 890-7800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $606.

Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($238).

Total Amount

$606

General + Research + Ownership

Payments

32

Total payment records

General Amount

$606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2021-09-02

PECOS data refreshed: 2026-06-15

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
I20210902000011IOtolaryngologyNJTBD
I20210902000030IOtolaryngologyPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes176124$0
99213Established patient office or other outpatient visit, 20-29 minutes157122$0
99204New patient office or other outpatient visit, 45-59 minutes112112$0
31231Diagnostic exam of nasal passages using an endoscope10386$0
69210Removal of impacted ear wax8473$0
View full utilization report →

Insurance plans in this area (ZIP 06030)

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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: 0143294074View full group profile
NameSpecialtyState
Qualified AudiologistPA
-PA
Qualified AudiologistNJ
O T O L A R Y N G O L O G YPA
Qualified AudiologistNJ
Qualified AudiologistNJ
-PA
-PA
O T O L A R Y N G O L O G YNJ
O T O L A R Y N G O L O G YPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JONATHAN MALLEN (MD)?
JONATHAN MALLEN (MD) — NPI 1396132478 — is the standard way to identify this listing.
Can I rely on JONATHAN MALLEN (MD) being an active provider?
As of the registry snapshot, JONATHAN MALLEN (MD) is marked active.
What taxonomy line describes JONATHAN MALLEN (MD)?
For research purposes, treat JONATHAN MALLEN (MD) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN MALLEN (MD) on a map?
Expect Farmington, Connecticut as a primary anchor for JONATHAN MALLEN (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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