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Active NPI 1598277907 Individual Practitioner Female Practitioner

Mallory Gauthier , PHYSICIAN ASSISTANT

Physician Assistant • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Mallory Gauthier, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Carbondale, IL. With approximately 9 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2017, Mallory Gauthier delivers high-quality medical care to the local community at 207 W JACKSON ST STE 201.

Mallory Gauthier does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 W Jackson St Ste 201

Carbondale, IL 629011408

Telephone 6184572963
Fax 6184572992

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2017

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -3.2 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Carbondale, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gauthier (9 Years) 9 Yrs
Carbondale Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
53 42 $87.96 $73.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 16 $124.61 $104.18

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085006422

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Michael Merrett , PA-C

Physician Assistant

NPI 1497712269

Physician Assistant (Certified)

Dr. Anad Salem , MD

Family Medicine

NPI 1659366839

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated October 18, 2021

Recorded as MALLORY GAUTHIER, PHYSICIAN ASSISTANT

NPI Profile Active October 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2017

Registered at 207 W JACKSON ST STE 201, CARBONDALE, IL 629011408 (Tel: 6184572963)

📍
Updated Business Mailing Address October 26, 2017

Registered at 207 W JACKSON ST STE 201, CARBONDALE, IL 629011408 (Tel: 6184572963)

👤
Provider Name / Credentials Updated October 26, 2017

Recorded as MALLORY LINDBERG, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2017

Physician Assistant (License #085006422 in IL)

🟢
Initial NPI Registration & Enumeration October 26, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598277907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2017
Last Update: April 20, 2026
Sole Proprietor: No

Mailing Address

207 W Jackson St Ste 201

Carbondale, IL 629011408

Phone: 6184572963

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.