MALLIK N TELLA (MD) – Orthopaedic Surgery Physician, NPI 1649380395
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
383 ORTHOPEDIC SURGERY in OR
Provider Addresses for MALLIK N TELLA (MD)
930 SW Abbey St
Newport, OR 973654820
Phone: (541) 265-2244
Type: Location
530 9th St
Florence, OR 974397388
Phone: (541) 997-7104
Fax: (541) 997-5975
Type: Location
10000, Southeast Main Street, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97216, United States
SUITE 224
PORTLAND, OR 972162470
Phone: (503) 261-6961
Type: Mailing
10123 SE MARKET ST
PORTLAND, OR 972162532
Phone: (503) 257-2500
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 $976.
Total Amount is formed as General ($976) + Research ($0) + Ownership ($0) = $976.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($422).
Total Amount
$976
General + Research + Ownership
Payments
16
Total payment records
General Amount
$976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $422 |
| Steelhead Surgical Inc | $329 |
| US Implant Solutions, LLC | $226 |
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: 2011-09-08
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 |
|---|---|---|---|---|
| I20110908002357 | I | Orthopedic Surgery | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97365)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OR | 20610 | Aspiration and/or injection of large joint or joint capsule | 79 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Family Practice | OR | |
| Family Practice | WA | |
| Nurse Practitioner | TX | |
| Family Practice | OR | |
| - | OR | |
| P S Y C H I A T R Y | MA | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| Family Practice | OR |
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