TIMOTHY R MALLOY (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1902855919

TIMOTHY R MALLOY (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 17506 (NE). The NPI Number for TIMOTHY R MALLOY (MD) is 1902855919

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY R MALLOY (MD)
NPI
1902855919
Phone
(402) 559-7200
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
8 May 2006
Last Update Date
22 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025594015
Graduation Year
1986 (40 years ago)
PAC ID
9436291762
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20100125000111
Address ID
NE681980001OMEMILESTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

23 GERIATRIC MEDICINE in NE

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Provider Addresses for TIMOTHY R MALLOY (MD)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone: (402) 559-7200

    Fax: (402) 559-9344

    Mailing address matches the actual address.

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: 2010-01-25

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
I20100125000111IGeriatric MedicineNETBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes882270$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes378177$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes226202$0
99214Established patient office or other outpatient visit, 30-39 minutes6034$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes4111$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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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: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

What is the registry number for TIMOTHY R MALLOY (MD)?
The registry entry for TIMOTHY R MALLOY (MD) shows NPI 1902855919.
Quick check: is TIMOTHY R MALLOY (MD) active?
Public NPPES data shows TIMOTHY R MALLOY (MD) with an active NPI status right now.
Which specialty label fits TIMOTHY R MALLOY (MD)?
NPPES ties TIMOTHY R MALLOY (MD) to Geriatric Medicine (Family Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TIMOTHY R MALLOY (MD)?
TIMOTHY R MALLOY (MD) shows a connection to Omaha, Nebraska in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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