Active NPI 1689664344 Individual Practitioner Female Practitioner

Dr. Maria D Mallory , MD

Surgery • Saint Cloud, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Maria Mallory, MD is a certified Surgery practicing in Saint Cloud, MN. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Mallory delivers high-quality medical care to the local community at 1200 6TH AVE N.

Dr. Mallory maintains professional affiliations with St Cloud Hospital, Centracare Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, partial removal of breast, biopsy or removal of lymph nodes of under the arm, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 6th Ave N

Saint Cloud, MN 563032735

Telephone 3202525131

Fax 3202402118

Associated Practice Facility / Clinic

🏢 Centracare Clinic Facility NPI 1538696323

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Cloud, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +11.5 yrs vs City Avg

City Avg: 14.5 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

20 Specialists

Practicing in Saint Cloud, MN (770 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mallory (26 Years) 26 Yrs

Saint Cloud Specialty Average (14.5 Years) 14.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$464.29	$151.09
19301 Partial removal of breast	12	11	$2125.25	$600.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1429.00	$201.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$345.11	$121.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$470.25	$151.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$309.75	$109.07
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1429.00	$245.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$392.00	$131.83
38900 Lymph node imaging during surgery	11	11	$451.75	$128.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$391.08	$135.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$468.22	$144.88
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1429.00	$229.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$449.31	$152.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$107.37	$38.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$202.23	$67.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$382.19	$134.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$291.23	$108.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$450.41	$126.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$432.31	$147.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$284.14	$105.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$185.42	$70.27
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$260.53	$97.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$350.75	$132.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$101.16	$37.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$275.25	$98.04

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 47718

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Preferred One

1043623

Commercial Insurance / Payer ID Health Partners

HP52031

Commercial Insurance / Payer ID Medica Health Plans

1701414

Commercial Insurance / Payer ID Blue Cross Blue Shield

346G4MA

Commercial Insurance / Payer ID U Care

132828

Commercial Insurance / Payer ID Araz Group Americas Ppo

2357287

Commercial Insurance / Payer ID Blue Cross Blue Shield

6D053CE

Commercial Insurance / Payer ID Medical Assistance

754479100

Hospital & Practice Group Affiliations

Centracare Clinic

1406 6th Ave No, St Cloud, MN 563031901

Centracare Clinic

1406 6th Ave N, St Cloud, MN 563031901

St Cloud Hospital

1900 Centracare Cir, Saint Cloud, MN 563035000

Phone: 3202522422

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

St Cloud Hospital

110 2nd St S, Waite Park, MN 563871367

Phone: 3202599375

Centracare Clinic

1200 6th Ave N, St Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th N Ave, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Phone: 3202525131

Practice Associates & Co-Workers

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

40 Associated Practitioners

Tracy Cousin , CNP

Nurse Practitioner - Neonatal

NPI 1003891144

Certified Nurse Practitioner

Dr. Bharath Manu Akkara Veetil , MBBS

Internal Medicine - Rheumatology

NPI 1023174323

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Viorel Gheorghe , MD

Internal Medicine

NPI 1033127287

Doctor of Medicine (M.D.)

Ashley Eisenschenk , FNP

Nurse Practitioner

NPI 1033695101

Family Nurse Practitioner

Jessica Hollenkamp , CNP

Nurse Practitioner

NPI 1043761190

Certified Nurse Practitioner

Dr. Christina Anderson , MD

Dermatology

NPI 1053313692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2011

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032735 (Tel: 3202525131)

📍

Updated Business Mailing Address November 28, 2011

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032735 (Tel: 3202525131)

👤

Provider Name / Credentials Updated November 28, 2011

Recorded as MARIA MALLORY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2011

Surgery (License #47718 in MN)

🟢

Initial NPI Registration & Enumeration October 25, 2005

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: 1689664344

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2005

Last Update: November 28, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 6th Ave N

Saint Cloud, MN 563032735

Phone: 3202525131

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.