MALLORY ANTOINETTE JACOBS (MD) – Psychiatry Physician, NPI 1124406475
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MALLORY ANTOINETTE JACOBS (MD)
3330 S Lancaster Rd
Dallas, TX 752164531
Phone: (214) 371-6639
Type: Location
3840 HULEN ST
FORT WORTH, TX 761077277
Phone: (817) 335-3022
Type: Location
5323 HARRY HINES BLVD.
DALLAS, TX 75390
Phone:
Type: Mailing
3840 Hulen St
Fort Worth, TX 761077277
Phone: (817) 335-3022
Type: Location
5323 Harry Hines Blvd.
Dallas, TX 75390
Phone: (214) 590-8000
Type: Location
PO BOX 24449
NEW YORK, NY 100870589
Phone: (917) 634-5311
Type: Mailing
1400 N COIT RD STE 302
MCKINNEY, TX 750716656
Phone: (917) 634-5311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 112 Open Payments records for all available years, with a total value of $2,247.
Total Amount is formed as General ($2,247) + Research ($0) + Ownership ($0) = $2,247.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: ABBVIE INC. ($537).
Total Amount
$2,247
General + Research + Ownership
Payments
112
Total payment records
General Amount
$2,247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $537 |
| Otsuka America Pharmaceutical, Inc. | $353 |
| Supernus Pharmaceuticals, Inc. | $328 |
| ITI, Inc. | $302 |
| Tris Pharma Inc | $174 |
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: 2020-01-27
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 |
|---|---|---|---|---|
| I20200127001489 | I | Psychiatry | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 215 | 75 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 95 | 40 | $0 |
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | 83 | 41 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 37 | 21 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 29 | 29 | $0 |
Insurance plans in this area (ZIP 75216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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