MS. BETHANY E MALOTT (PA) – Family Medicine Physician, NPI 1215128962

MS. BETHANY E MALOTT (PA) is a healthcare provider. based in Saginaw, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601005127 (MI). The NPI Number for MS. BETHANY E MALOTT (PA) is 1215128962

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. BETHANY E MALOTT (PA)
NPI
1215128962
Phone
(989) 793-4250
Address
4386 STATE ST
Enumeration Date
7 August 2007
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897934250
Graduation Year
2007 (19 years ago)
PAC ID
6800981713
Group Practice PAC ID
4587900774
Professional Enrollment ID
I20071005000573
Address ID
MI486033713SA5200XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MS. BETHANY E MALOTT (PA)

  • 4386, State Street, Saginaw Charter Township, Saginaw County, Michigan, 48603, United States

    SAGINAW, MI 486034067

    Phone: (989) 793-4250

    Fax: (989) 793-6880

    Type: Location

  • 5200 STATE ST

    SAGINAW, MI 486033713

    Phone: (989) 793-4250

    Fax: (989) 793-6880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 190 Open Payments records for all available years, with a total value of $3,284.

Total Amount is formed as General ($3,284) + Research ($0) + Ownership ($0) = $3,284.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($499).

Total Amount

$3,284

General + Research + Ownership

Payments

190

Total payment records

General Amount

$3,284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-10-05

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
I20071005000573IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes22490$0
99497Advance care planning, first 30 minutes8078$0
83036Hemoglobin a1c level7142$0
99213Established patient office or other outpatient visit, 20-29 minutes6140$0
G0008Administration of influenza virus vaccine4343$0
View full utilization report →

Insurance plans in this area (ZIP 48603)

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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: 4587900774View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
Physician AssistantMI
-MI

Reviews

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Frequently asked questions

What is the registry number for MS. BETHANY E MALOTT (PA)?
The registry entry for MS. BETHANY E MALOTT (PA) shows NPI 1215128962.
Should I treat MS. BETHANY E MALOTT (PA) as an active provider?
Patients and plans typically see MS. BETHANY E MALOTT (PA) as active in the national extract.
How should patients interpret MS. BETHANY E MALOTT (PA)'s specialty?
The extract shows Family Medicine Physician for MS. BETHANY E MALOTT (PA). Clinical services aligned with this taxonomy classification.
Is MS. BETHANY E MALOTT (PA) tied to Saginaw, Michigan?
If you are local to Saginaw, Michigan, MS. BETHANY E MALOTT (PA) may be relevant to your search.
Why is information missing for MS. BETHANY E MALOTT (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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