MR. NORMAN ROBERT MALLORY (PA-C) – Medical Physician Assistant, NPI 1710086608
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
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Provider Addresses for MR. NORMAN ROBERT MALLORY (PA-C)
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON, ME 042437291
Phone: (207) 777-8941
Fax: (207) 777-4397
Type: Mailing
John Bapst Memorial High School, 100, Broadway, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044013979
Phone: (207) 907-3550
Fax: (207) 907-3562
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ABBVIE INC. ($93).
Total Amount
$108
General + Research + Ownership
Payments
3
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $93 |
| Gilead Sciences, Inc. | $15 |
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: 2017-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170802002636 | I | Physician Assistant | ME | 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 | 125 | 87 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 44 | 37 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 28 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 24 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 04243)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NY | |
| Internal Medicine | ME | |
| Family Practice | ME | |
| G A S T R O E N T E R O L O G Y | ME | |
| Internal Medicine | ME | |
| G A S T R O E N T E R O L O G Y | ME | |
| Physician Assistant | ME | |
| Pulmonary Disease, Critical Care (Intensivists) | ME | |
| Orthopedic Surgery | NY | |
| Certified Registered Nurse Anesthetist (Crna) | ME |
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