DR. MALLORY SHIVER ABATE (M.D.) – Dermatology Physician, NPI 1710320767

DR. MALLORY SHIVER ABATE (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 2017014176 (MO). The NPI Number for DR. MALLORY SHIVER ABATE (M.D.) is 1710320767

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALLORY SHIVER ABATE (M.D.)
NPI
1710320767
Phone
Not provided
Address
1755 S GRAND BLVD
Enumeration Date
9 April 2013
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
2257697546
Graduation Year
2017 (9 years ago)
PAC ID
6002133154
Group Practice PAC ID
6103856661
Professional Enrollment ID
I20220819000962
Address ID
LA708084691BA5326XDRXX300

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTUD2/
Secure Messaging
mabate211098@direct-ehr-ssmhc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

337 DERMATOLOGY in MO

Provider Addresses for DR. MALLORY SHIVER ABATE (M.D.)

  • 1755 S GRAND BLVD

    SAINT LOUIS, MO 631041540

    Phone:

    Type: Mailing

  • 1755 S GRAND BLVD DEPT OF DERMATOLOGY

    SAINT LOUIS, MO 631041540

    Phone: (314) 256-3400

    Type: Location

  • 2315 Dougherty Ferry Rd Ste 200B

    Saint Louis, MO 631223383

    Phone: (314) 977-9711

    Fax: (314) 977-9720

    Type: Location

  • 1225 S GRAND BLVD FL 3

    SAINT LOUIS, MO 631041016

    Phone: (314) 256-3400

    Type: Location

  • 1008 S SPRING AVE FL 3

    SAINT LOUIS, MO 631102520

    Phone: (314) 977-9711

    Fax: (314) 977-1802

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $2,145.

Total Amount is formed as General ($2,145) + Research ($0) + Ownership ($0) = $2,145.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($441).

Total Amount

$2,145

General + Research + Ownership

Payments

116

Total payment records

General Amount

$2,145

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: 2022-08-19

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
I20220819000962IDermatologyLATBD

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
17003Destruction of precancer skin growth, 2-14 growths30155$0
99213Established patient office or other outpatient visit, 20-29 minutes143113$0
99214Established patient office or other outpatient visit, 30-39 minutes8755$0
17000Destruction of precancer skin growth, 1 growth8267$0
88305Pathology examination of tissue using a microscope, intermediate complexity8055$0
View full utilization report →

Insurance plans in this area (ZIP 63104)

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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: 6103856661View full group profile
NameSpecialtyState
-AL
D E R M A T O L O G YLA
D E R M A T O L O G YLA
D E R M A T O L O G YLA
D E R M A T O L O G YLA
-LA
-LA
D E R M A T O L O G YLA
Dermatology, PathologyLA
D E R M A T O L O G YLA

Reviews

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Frequently asked questions

Is there an official ID for DR. MALLORY SHIVER ABATE (M.D.) in U.S. healthcare records?
The official identifier for DR. MALLORY SHIVER ABATE (M.D.) is NPI 1710320767.
Is DR. MALLORY SHIVER ABATE (M.D.) shown as active in public data?
Registry records indicate DR. MALLORY SHIVER ABATE (M.D.) maintains an active NPI.
How would a patient describe DR. MALLORY SHIVER ABATE (M.D.)'s focus?
For DR. MALLORY SHIVER ABATE (M.D.), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. MALLORY SHIVER ABATE (M.D.) registered?
Use Saint Louis, Missouri as the headline location for DR. MALLORY SHIVER ABATE (M.D.) here.
Does DR. MALLORY SHIVER ABATE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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