MICHAEL CRAIG MALLEA (M.D.) – Nephrology Physician, NPI 1043235377
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
35 NEPHROLOGY in ID
Provider Addresses for MICHAEL CRAIG MALLEA (M.D.)
3525 E LOUISE DR STE 195
MERIDIAN, ID 836426303
Phone: (208) 846-8335
Fax: (208) 846-8336
Type: Mailing
3525 E Louise Dr Ste 195
Meridian, ID 836426303
Phone: (208) 846-8335
Fax: (208) 846-8336
Type: Location
4424 E Flamingo Ave Ste 195
Nampa, ID 836879289
Phone: (208) 846-8335
Fax: (208) 846-8336
Type: Location
1109 W Myrtle St Ste 100
Boise, ID 837026971
Phone: (208) 846-8335
Fax: (208) 846-8336
Type: Location
4620 Enterprise Way Ste 101
Caldwell, ID 83605
Phone: (208) 846-8335
Fax: (208) 846-8336
Type: Location
3355 RIVERBEND DR
STE 200
SPRINGFIELD, OR 974778800
Phone: (541) 868-9247
Fax: (541) 485-0452
Type: Mailing
3355 RIVERBEND DR STE 200
SPRINGFIELD, OR 974778800
Phone: (541) 868-9247
Fax: (541) 485-0452
Type: Location
Enterprise Way, Caldwell, Canyon County, Idaho, 83605, United States
CALDWELL, ID 83605
Phone: (208) 846-8335
Fax: (208) 846-8336
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-07-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($85).
Total Amount
$167
General + Research + Ownership
Payments
7
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-08-25
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 |
|---|---|---|---|---|
| I20100825000365 | I | Nephrology | OR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 75 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 69 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 57 | 57 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 53 | 26 | $0 |
Insurance plans in this area (ZIP 83642)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | ID | 90966 | Home dialysis services per month, patient 20 years of age or older | 132 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Nephrology, Internal Medicine | IL | |
| N E P H R O L O G Y | OR | |
| N E P H R O L O G Y | OR | |
| N E P H R O L O G Y | OR | |
| Physician Assistant | OR | |
| N E P H R O L O G Y | OR | |
| N E P H R O L O G Y | OR |
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