DR. CLINTON MALLARI (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1154345585
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14 INTERVENTIONAL PAIN MANAGEMENT in ID
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Provider Addresses for DR. CLINTON MALLARI (MD)
115, West Main Street, Downtown, Boise, Ada County, Idaho, 83702, United States
SUITE 102
BOISE, ID 837027302
Phone: (208) 342-4700
Fax: (208) 342-4710
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 5 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Abbott Laboratories ($83).
Total Amount
$83
General + Research + Ownership
Payments
5
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $83 |
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: 2004-01-10
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 |
|---|---|---|---|---|
| I20040110000127 | I | Interventional Pain Management | ID | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 60 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 23 | 14 | $0 |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 22 | 16 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 20 | 17 | $0 |
Insurance plans in this area (ZIP 83702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | ID | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 21 | 19 |
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