MALLORY K PINGETON (PA-C) – Physician Assistant, NPI 1982915823

MALLORY K PINGETON (PA-C) is a healthcare provider. based in Roslindale, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3990 (MA). The NPI Number for MALLORY K PINGETON (PA-C) is 1982915823

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY K PINGETON (PA-C)
NPI
1982915823
Phone
(978) 809-0852
Address
64 ARDALE ST
Enumeration Date
25 June 2010
Last Update Date
25 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6179837000
Graduation Year
2010 (16 years ago)
PAC ID
8325275654
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20131212000883
Address ID
MA021303446JA1153XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MALLORY K PINGETON (PA-C)

  • 64 ARDALE ST

    ROSLINDALE, MA 021311403

    Phone: (978) 809-0852

    Type: Mailing

  • 75 FRANCIS ST

    BOSTON, MA 021156110

    Phone: (617) 983-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Endo USA, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Endo USA, Inc.$13
View all Open Payments →|Open Payments Risk Radar →

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: 2013-12-12

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
I20131212000883IPhysician AssistantMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10998$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 02131)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Can I verify MALLORY K PINGETON (PA-C) with an NPI only?
You can start verification with NPI 1982915823 for MALLORY K PINGETON (PA-C), then check state licensing separately.
Does CMS list MALLORY K PINGETON (PA-C) as active?
Yes — MALLORY K PINGETON (PA-C) is active in the NPI listing used on this page.
What is MALLORY K PINGETON (PA-C)'s specialty?
The listing groups MALLORY K PINGETON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MALLORY K PINGETON (PA-C) on a map?
Expect Roslindale, Massachusetts as a primary anchor for MALLORY K PINGETON (PA-C) unless the record lists multiple sites.
Why does MALLORY K PINGETON (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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