Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093725368 Deactivated / Inactive NPI Male Practitioner

Dr. David B Mallory , MD

General Practice • Oklahoma City, OK

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Mallory has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date January 22, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. David Mallory, MD was a registered General Practice practicing in Oklahoma City, OK. Throughout an active medical career spanning 20 years, Dr. Mallory provided care at the practice location at 1240 SW 44TH ST until profile deactivation on 2026-01-22.

Historical Medicare Part B clinical services included removal of recurring cataract in lens capsule using a laser, established patient problem focused exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1240 Sw 44th St

Oklahoma City, OK 731093604

Telephone 4056311527
Fax 4056319930
Associated Practice Facility / Clinic
🏢 Southwest Eye Clinic, Pllc Facility NPI 1225083512

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Oklahoma City, OK (175 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
66821 Removal of recurring cataract in lens capsule using a laser
63 47 $690.00 $261.63
92012 Established patient problem focused exam of visual system
62 45 $110.00 $83.99
92004 New patient complete exam of visual system
42 42 $220.00 $141.85
92014 Established patient complete exam of visual system
26 26 $160.00 $115.71

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 10466

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Kurt Weir , MD

General Practice

NPI 1841200037

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1240 SW 44TH ST, OKLAHOMA CITY, OK 731093604 (Tel: 4056311527)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12105 S WENTWORTH PL, OKLAHOMA CITY, OK 731704822 (Tel: 4056916219)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MALLORY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #10466 in OK)

🟢
Initial NPI Registration & Enumeration August 09, 2006

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 Dr. David Mallory. Be the first to share your experience!

Sign in to leave a review for Dr. David Mallory

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

NPI Administrative Meta

NPI Number: 1093725368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Deactivation Date: January 22, 2026

Mailing Address

12105 S Wentworth Pl

Oklahoma City, OK 731704822

Phone: 4056916219

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.