DR. MALLORY LYNN EISENMAN (DPM) – Podiatrist, NPI 1487655445
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,279 PODIATRY in PA
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Provider Addresses for DR. MALLORY LYNN EISENMAN (DPM)
1900, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States
SUITE C3
PHILADELPHIA, PA 191035767
Phone: (215) 735-3668
Fax: (215) 735-1838
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)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Ortho Dermatologics, a division of Bausch Health US, LLC ($45).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ortho Dermatologics, a division of Bausch Health US, LLC | $45 |
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: 2010-08-05
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 |
|---|---|---|---|---|
| I20100805000615 | I | Podiatry | PA | 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 |
|---|---|---|---|---|
| G0127 | Trimming of dystrophic nails, any number | 234 | 78 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 226 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 183 | 155 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 149 | 111 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 141 | 60 | $0 |
Insurance plans in this area (ZIP 19103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | PA | 11056 | Removal of 2 to 4 thickened skin growths | 333 | 116 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | DE |
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