Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740797398 Individual Practitioner Female Practitioner

Mallory Elizabeth Cusumano , NP

Nurse Practitioner • Chesterfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Cusumano, NP is a certified Nurse Practitioner practicing in Chesterfield, MO. With approximately 9 years of clinical experience since completing medical education in 2017, Mallory Cusumano delivers high-quality medical care to the local community at 224 S WOODS MILL RD STE 330S.

Mallory Cusumano maintains professional affiliations with Physical Therapy Spine And Sports Medicine Llc, Rehabclinics Pta Inc, St Lukes Orthopedics Woods Mill Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, aspiration and/or injection of fluid large joint using ultrasound guidance, repair of shoulder rotator cuff using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

224 S Woods Mill Rd Ste 330s

Chesterfield, MO 630173497

Telephone 1435767013
Fax 3145764047

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Chesterfield, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Chesterfield, MO (1750 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
97.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cusumano (9 Years) 9 Yrs
Chesterfield Specialty Average (11.3 Years) 11.3 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
27447 Replacement of knee joint, both sides of knee
35 34 $5613.60 $168.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
21 21 $420.95 $90.60
29827 Repair of shoulder rotator cuff using an endoscope
17 17 $6578.40 $140.04
27130 Replacement of thigh bone and hip joint with prosthesis
14 14 $10877.60 $157.49
23472 Prosthetic repair of shoulder joint, total shoulder
14 13 $7584.00 $189.24
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $223.00 $74.38
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope
14 14 $2400.00 $22.30
29824 Partial removal of collar bone at shoulder using an endoscope
13 13 $5063.20 $32.25

Medical Specialties & State Licenses

CMS Verified: 2025-05-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2018004643

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License MO 2018004643

Definition to come...

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Rehabclinics Pta Inc

1817 E Commercial Blvd, Ft Lauderdale, FL 333083767

Phone: 9548368980

Physical Therapy Spine And Sports Medicine Llc

15425 Manchester Rd, Ballwin, MO 630113077

Phone: 6362206969

St Lukes Orthopedics Woods Mill Llc

224 S Woods Mill Rd, Chesterfield, MO 630173513

Phone: 3145767013

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Brian Wegman , MD

Orthopaedic Surgery

NPI 1023217890

Doctor of Medicine (M.D.)

Dr. Timothy Lang , MD

Orthopaedic Surgery

NPI 1285627489

Doctor of Medicine (M.D.)

Rhonda Donovan , ANPC

Nurse Practitioner

NPI 1386637577

Adult Nurse Practitioner (Certified)

Dr. Andrew Spitzfaden , MD

Orthopaedic Surgery

NPI 1447296181

Doctor of Medicine (M.D.)

Dr. Richard Rames , MD

Orthopaedic Surgery

NPI 1548642168

Doctor of Medicine (M.D.)

Dr. Adam Rammacher , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1609112523

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated May 20, 2025

Recorded as MALLORY CUSUMANO, NP

📍
Updated Practice Location April 13, 2023

Registered at 224 S WOODS MILL RD STE 330S, CHESTERFIELD, MO 630173497 (Tel: 1435767013)

📍
Updated Business Mailing Address April 13, 2023

Registered at 301 BAKER AVE, WEBSTER GROVES, MO 631193735 (Tel: 6362365602)

📍
Updated Practice Location May 22, 2018

Registered at 621 S NEW BALLAS RD STE 5015B, SAINT LOUIS, MO 63141 (Tel: 3142511826)

👤
Provider Name / Credentials Updated May 22, 2018

Recorded as MALLORY BATES, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2018

Nurse Practitioner (License #2018004643 in MO)

NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2018

Registered at 621 S NEW BALLAS RD STE 5015B, SAINT LOUIS, MO 631418270 (Tel: 3142511826)

📍
Updated Business Mailing Address January 04, 2018

Registered at 840 LONGACRE DR APT B, SAINT LOUIS, MO 631324749 (Tel: 6362365602)

👤
Provider Name / Credentials Updated January 04, 2018

Recorded as MALLORY BATES, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 04, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mallory Cusumano. Be the first to share your experience!

Sign in to leave a review for Mallory Cusumano

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1740797398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2018
Last Update: May 20, 2025
Sole Proprietor: No

Mailing Address

301 Baker Ave

Webster Groves, MO 631193735

Phone: 6362365602

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.