DR. ALEXANDER DAVID MALLOY (D.O.) – Trauma Surgery Physician, NPI 1174886824
Trauma Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
Provider Addresses for DR. ALEXANDER DAVID MALLOY (D.O.)
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 782344504
Phone:
Type: Mailing
325 9TH AVE
SEATTLE, WA 981042420
Phone: (206) 520-5000
Type: Location
1321 Colby Ave
Everett, WA 982011665
Phone: (425) 261-2000
Type: Location
999 N Curtis Rd Ste 415
Boise, ID 837061334
Phone: (208) 302-2600
Fax: (208) 302-2625
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 520-5700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($101).
Total Amount
$101
General + Research + Ownership
Payments
1
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $101 |
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: 2025-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210510001245 | I | General Surgery | WA | TBD |
| I20240206001403 | I | Critical Care (Intensivists) | ID | TBD |
| I20250422003368 | I | General Surgery | CO | 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 78234)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| Infectious Disease | OR | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
Reviews
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