DR. GEORGE EDWARD MALLORY (DO) – Emergency Medicine Physician, NPI 1609844695

DR. GEORGE EDWARD MALLORY (DO) is a healthcare provider. based in Tampa, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. OS0005771 (FL). The NPI Number for DR. GEORGE EDWARD MALLORY (DO) is 1609844695

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE EDWARD MALLORY (DO)
NPI
1609844695
Phone
(813) 997-1241
Address
8955 MAGNOLIA CHASE CIR
Enumeration Date
8 March 2006
Last Update Date
24 November 2009

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
4073596010
Graduation Year
1988 (38 years ago)
PAC ID
4385626530
Group Practice PAC ID
1951682293
Professional Enrollment ID
I20040602001150
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GEORGE EDWARD MALLORY (DO)

  • 8955, Magnolia Chase Circle, Tampa, Hillsborough County, Florida, 33647, United States

    TAMPA, FL 336472220

    Phone: (813) 997-1241

    Fax: (813) 973-4664

    Type: Mailing

  • 17606, Nathans Drive, Tampa, Hillsborough County, Florida, 33647, United States

    TAMPA, FL 336472272

    Phone: (813) 997-1241

    Fax: (813) 973-4664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-02

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
I20040602001150IEmergency MedicineFLTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only380347$0
99285Emergency department visit with high level of medical decision making375355$0
99291Critical care, first 30-74 minutes10297$0
99284Emergency department visit with moderate level of medical decision making7070$0
View full utilization report →

Insurance plans in this area (ZIP 33647)

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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: 1951682293View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. GEORGE EDWARD MALLORY (DO) across health systems?
The NPI 1609844695 uniquely identifies DR. GEORGE EDWARD MALLORY (DO) in U.S. healthcare data.
Does the public listing show DR. GEORGE EDWARD MALLORY (DO) as active?
DR. GEORGE EDWARD MALLORY (DO)'s NPI record reflects an active status in NPPES.
What services align with DR. GEORGE EDWARD MALLORY (DO)'s listing?
DR. GEORGE EDWARD MALLORY (DO)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GEORGE EDWARD MALLORY (DO)?
DR. GEORGE EDWARD MALLORY (DO) shows a connection to Tampa, Florida in registry-derived data.
Who maintains DR. GEORGE EDWARD MALLORY (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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