WILLIAM J. MALLON (M.D.) – Ophthalmology Physician, NPI 1114976479

WILLIAM J. MALLON (M.D.) is a healthcare provider. based in Fort pierce, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. ME78127 (FL). The NPI Number for WILLIAM J. MALLON (M.D.) is 1114976479

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J. MALLON (M.D.)
NPI
1114976479
Phone
(772) 410-2810
Address
1707 S 25th St
Enumeration Date
6 May 2006
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7722991404
Graduation Year
1994 (32 years ago)
PAC ID
6305746280
Group Practice PAC ID
9234039116
Professional Enrollment ID
I20101019000090
Address ID
FL329604511VE3500X1XXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for WILLIAM J. MALLON (M.D.)

  • 1707 S 25th St

    Fort Pierce, FL 349474709

    Phone: (772) 410-2810

    Type: Location

  • 145 RIVERWAY DR

    VERO BEACH, FL 329632634

    Phone: (772) 234-6618

    Type: Mailing

  • Center for Advanced Eye Care, 3500, US 1, Vero Beach, Indian River County, Florida, 32960, United States

    VERO BEACH, FL 329604511

    Phone: (772) 299-1404

    Fax: (772) 299-1455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $4,250.

Total Amount is formed as General ($4,250) + Research ($0) + Ownership ($0) = $4,250.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: RxSight Inc ($2,956).

Total Amount

$4,250

General + Research + Ownership

Payments

62

Total payment records

General Amount

$4,250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2010-10-19

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
I20101019000090IOphthalmologyFLTBD

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
J0585Injection, onabotulinumtoxina, 1 unit3,56517$0
92014Established patient complete exam of visual system1,1871,144$0
99214Established patient office or other outpatient visit, 30-39 minutes901759$0
68841Insertion of drug delivery implant into tear duct of eye655358$0
66984Removal of cataract with insertion of prosthetic lens652367$0
View full utilization report →

Insurance plans in this area (ZIP 34947)

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Provider's Procedures

WILLIAM J. MALLON (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips8942
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient16461131

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: 9234039116View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Can I verify WILLIAM J. MALLON (M.D.) with an NPI only?
You can start verification with NPI 1114976479 for WILLIAM J. MALLON (M.D.), then check state licensing separately.
Is WILLIAM J. MALLON (M.D.) still practicing?
WILLIAM J. MALLON (M.D.) is currently listed as active in the public NPI registry.
What is WILLIAM J. MALLON (M.D.) best known for clinically?
Directory data describes WILLIAM J. MALLON (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What area does WILLIAM J. MALLON (M.D.) serve?
WILLIAM J. MALLON (M.D.)'s listing highlights Fort Pierce, Florida; more addresses can appear in NPPES.
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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