JOHN WILLIAM CARL CARTER MALLETT (MD) – Anesthesiology Physician, NPI 1003310863
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
672 PAIN MANAGEMENT in FL
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Provider Addresses for JOHN WILLIAM CARL CARTER MALLETT (MD)
1075 LAFAYETTE PKWY STE 100
LAGRANGE, GA 302413507
Phone: (706) 443-5273
Fax: (706) 443-5275
Type: Mailing
UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States
GAINESVILLE, FL 326103003
Phone:
Type: Mailing
75 FRANCIS ST
BOSTON, MA 021156106
Phone: (617) 732-5500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $3,567.
Total Amount is formed as General ($3,567) + Research ($0) + Ownership ($0) = $3,567.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: MML US, Inc. ($2,786).
Total Amount
$3,567
General + Research + Ownership
Payments
42
Total payment records
General Amount
$3,567
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MML US, Inc. | $2,786 |
| Boston Scientific Corporation | $194 |
| Medtronic, Inc. | $184 |
| Vertos Medical, Inc. | $168 |
| SPR Therapeutics, Inc | $95 |
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: 2023-06-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220613000370 | I | Anesthesiology | MA | TBD |
| I20230614002274 | I | Pain Management | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Internal Medicine | MA | |
| Family Practice | GA | |
| Family Practice | MN | |
| Family Practice | GA | |
| - | CA | |
| - | OH | |
| Internal Medicine | GA | |
| Orthopedic Surgery | GA | |
| Internal Medicine | TN |
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