MALLORY SUSSMAN – Family Nurse Practitioner, NPI 1194375899
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MALLORY SUSSMAN
13511 IRONTON DR
TAMPA, FL 336262967
Phone: (813) 340-5322
Mailing address matches the actual address.
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 $245.
Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.
Last reported payment date: 2023-09-26 • Largest payer in this snapshot: SI-BONE, INC. ($124).
Total Amount
$245
General + Research + Ownership
Payments
2
Total payment records
General Amount
$245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $124 |
| TG Therapeutics, Inc. | $121 |
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: 2021-12-09
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 |
|---|---|---|---|---|
| I20211209000427 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| J3111 | Injection, romosozumab-aqqg, 1 mg | 9,660 | 25 | $0 |
| J1306 | Injection, inclisiran, 1 mg | 6,816 | 19 | $0 |
| J0897 | Injection, denosumab, 1 mg | 6,780 | 103 | $0 |
| J2356 | Injection, tezepelumab-ekko, 1 mg | 5,460 | 12 | $0 |
| J3032 | Injection, eptinezumab-jjmr, 1 mg | 3,400 | 11 | $0 |
Insurance plans in this area (ZIP 33626)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
Reviews
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