MALLORY ANNE LARA (MD) – Surgery Physician, NPI 1053730960
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
Provider Addresses for MALLORY ANNE LARA (MD)
3601 SW 160TH AVE STE 250
MIRAMAR, FL 330276314
Phone: (877) 866-7123
Type: Mailing
8300 FLOYD CURL DR
SAN ANTONIO, TX 782293931
Phone: (210) 450-9200
Type: Mailing
17218 PRESTON RD STE 2000
DALLAS, TX 752524018
Phone: (877) 866-7123
Type: Location
139 Isle Creek Dr
Memphis, TN 381039000
Phone: (901) 233-4423
Type: Location
8300 Floyd Curl Dr
San Antonio, TX 782293931
Phone: (210) 450-9200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2023-10-23 • Largest payer in this snapshot: Smith+Nephew, Inc. ($122).
Total Amount
$225
General + Research + Ownership
Payments
2
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $122 |
| Next Science LLC | $103 |
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: 2019-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191122000015 | I | General Surgery | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 678 | 237 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 521 | 133 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 425 | 189 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 215 | 121 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 155 | 123 | $0 |
Insurance plans in this area (ZIP 33027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice, Peripheral Vascular Disease | TX | |
| General Surgery | NY | |
| General Surgery | TX | |
| N E U R O S U R G E R Y | TX | |
| General Practice | PA | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| Family Practice, Peripheral Vascular Disease | TX |
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