NATHAN ANDREW MALL (M.D.) – Orthopaedic Surgery Physician, NPI 1760509095

NATHAN ANDREW MALL (M.D.) is a healthcare provider. based in Chesterfield, Missouri. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2012011153 (MO). The NPI Number for NATHAN ANDREW MALL (M.D.) is 1760509095

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN ANDREW MALL (M.D.)
NPI
1760509095
Phone
(636) 536-7000
Address
14825 N OUTER 40 RD
Enumeration Date
23 March 2007
Last Update Date
2 December 2022

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149091666
Graduation Year
2006 (20 years ago)
PAC ID
8426228438
Group Practice PAC ID
2567695893
Professional Enrollment ID
I20121026000281
Address ID
MO631226161SA333XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

802 ORTHOPEDIC SURGERY in MO

Provider Addresses for NATHAN ANDREW MALL (M.D.)

  • 14825 N OUTER 40 RD

    STE 365

    CHESTERFIELD, MO 630172152

    Phone: (636) 536-7000

    Type: Mailing

  • 333 S KIRKWOOD RD STE 200

    KIRKWOOD, MO 631226161

    Phone: (314) 991-4335

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $849.

Total Amount is formed as General ($849) + Research ($0) + Ownership ($0) = $849.

Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Stryker Corporation ($724).

Total Amount

$849

General + Research + Ownership

Payments

16

Total payment records

General Amount

$849

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-29

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: 2012-10-26

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
I20121026000281IOrthopedic SurgeryMOTBD

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
J1030Injection, methylprednisolone acetate, 40 mg350110$0
99213Established patient office or other outpatient visit, 20-29 minutes277157$0
20610Aspiration and/or injection of fluid from large joint155104$0
73030X-ray of shoulder, minimum of 2 views5632$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 63017)

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Provider's Procedures

NATHAN ANDREW MALL (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMO20610Aspiration and/or injection of large joint or joint capsule6742

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: 2567695893View full group profile
NameSpecialtyState
Sports Medicine, Anesthesiology, Orthopedic SurgeryMO
Orthopedic SurgeryMO
Physician AssistantIL
Nurse PractitionerMO
Physician AssistantMO
Hand Surgery, Orthopedic SurgeryMO
Orthopedic SurgeryMO
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

Does NATHAN ANDREW MALL (M.D.) have a public NPI I can cite?
Public records show NATHAN ANDREW MALL (M.D.) under NPI 1760509095.
Is NATHAN ANDREW MALL (M.D.)'s NPI status active today?
Active status means NATHAN ANDREW MALL (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret NATHAN ANDREW MALL (M.D.)'s specialty?
The extract shows Orthopaedic Surgery Physician for NATHAN ANDREW MALL (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to NATHAN ANDREW MALL (M.D.)?
NATHAN ANDREW MALL (M.D.) shows a connection to Chesterfield, Missouri in registry-derived data.
Can I export NATHAN ANDREW MALL (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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