DR. SUSAN REGINA MALLERY (DDS) – Oral and Maxillofacial Pathology Dentistry, NPI 1083688865
Oral and Maxillofacial Pathology Dentistry
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
749 PATHOLOGY in OH
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Provider Addresses for DR. SUSAN REGINA MALLERY (DDS)
Ohio State Dental Clinics, 305, West Twelfth Avenue, University District District 4, Columbus, Sharon, Franklin, Ohio, 43210, United States
COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS, OH 432101267
Phone: (614) 292-5892
Fax: (614) 292-9384
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: 2012-10-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121004000860 | I | Pathology | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 104 | 91 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 57 | 44 | $0 |
Insurance plans in this area (ZIP 43210)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | OH | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 57 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery, Pathology | OH | |
| - | OH | |
| Oral And Maxillofacial Pathology | OH |
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