DR. TIMOTHY L MALLING (M.D) – Family Medicine Physician, NPI 1548277668

DR. TIMOTHY L MALLING (M.D) is a healthcare provider. based in Paynesville, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. MN38633 (MN). The NPI Number for DR. TIMOTHY L MALLING (M.D) is 1548277668

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY L MALLING (M.D)
NPI
1548277668
Phone
(320) 243-3779
Address
200 W 1ST ST
Enumeration Date
2 August 2006
Last Update Date
28 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3202433779
Graduation Year
1993 (33 years ago)
PAC ID
2567356967
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20041123001084
Address ID
MN563621445PA200XXSTXX402

Contacts

Secure Messaging
tmalling2383@direct.centracare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DR. TIMOTHY L MALLING (M.D)

  • CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States

    PAYNESVILLE, MN 563621445

    Phone: (320) 243-3779

    Fax: (320) 243-3174

    Type: Location

  • 23, State Highway 248A, Paynesville, Town of Independence, Town of Willing, Allegany County, New York, 14897, United States

    PAYNESVILLE, MN 563624622

    Phone: (320) 243-3361

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-11-23

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
I20041123001084IFamily PracticeMNTBD

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
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional2312$0
View full utilization report →

Insurance plans in this area (ZIP 56362)

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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: 2466363395View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What federal number belongs to DR. TIMOTHY L MALLING (M.D)?
The federal identifier for DR. TIMOTHY L MALLING (M.D) is NPI 1548277668.
Does this profile mean DR. TIMOTHY L MALLING (M.D) is currently active?
Yes — DR. TIMOTHY L MALLING (M.D) appears active in the national provider directory.
What kind of provider is DR. TIMOTHY L MALLING (M.D)?
The page reflects Family Medicine Physician for DR. TIMOTHY L MALLING (M.D). Clinical services aligned with this taxonomy classification.
Where is DR. TIMOTHY L MALLING (M.D)'s primary listing?
We display Paynesville, Minnesota because that is what the record indicates for DR. TIMOTHY L MALLING (M.D).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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