Active NPI 1215272505 Individual Practitioner Female Practitioner

Mallory Fillmore , PA-C

Physician Assistant • Corvallis, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mallory Fillmore, PA-C is a certified Physician Assistant practicing in Corvallis, OR. With approximately 14 years of clinical experience since completing medical education in 2012, Mallory Fillmore delivers high-quality medical care to the local community at 3680 NW SAMARITAN DR.

Mallory Fillmore is affiliated with The Corvallis Clinic P C and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3680 Nw Samaritan Dr

Corvallis, OR 973303737

Telephone 5417541150

Associated Practice Facility / Clinic

🏢 Alliance Healthcare Services Inc Facility NPI 1346342169

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Corvallis, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +1.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

76 Specialists

Practicing in Corvallis, OR (2106 Statewide)

Telehealth Adoption Rate

38.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fillmore (14 Years) 14 Yrs

Corvallis Specialty Average (12.9 Years) 12.9 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$511.00	$133.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$395.00	$103.49
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$295.00	$71.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$366.00	$91.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$395.00	$102.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$511.00	$132.25
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$278.00	$72.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$342.00	$91.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$551.00	$146.15

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	62	62	$511.00	$127.07
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$278.00	$69.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$395.00	$99.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$342.00	$84.73
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$396.00	$104.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$241.49	$75.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$544.26	$137.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$357.42	$106.91
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$390.00	$107.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	84	$241.00	$61.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$550.00	$132.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$356.00	$89.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$361.00	$89.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$683.00	$173.11

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	104	104	$550.00	$135.57
99213 Established patient office or other outpatient visit, typically 15 minutes	93	84	$241.00	$60.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	68	$356.00	$88.65

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	122	122	$549.18	$134.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	65	$356.00	$87.40
99213 Established patient office or other outpatient visit, typically 15 minutes	68	65	$241.00	$60.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$683.00	$166.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	126	$236.86	$89.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$531.83	$134.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	34	$279.88	$119.76
G0442 Annual alcohol misuse screening, 5 to 15 minutes	32	32	$25.31	$14.86
G0444 Annual depression screening, 5 to 15 minutes	30	30	$24.83	$14.86
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$212.04	$60.38

Medical Specialties & State Licenses

CMS Verified: 2024-12-30

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA174128

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500695157 (OR)

Hospital & Practice Group Affiliations

The Corvallis Clinic P C

3680 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417541282

The Corvallis Clinic P C

3680 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417541150

Practice Associates & Co-Workers

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

40 Associated Practitioners

Laura Luczkiw

Dietitian, Registered

NPI 1003271727

Dr. Joel Garfunkel , PhD

Psychologist

NPI 1003866294

Doctor of Philosophy (Ph.D.)

Dr. Kevin Cuccaro , DO

Anesthesiology - Pain Medicine

NPI 1003937772

Doctor of Osteopathic Medicine (D.O.)

Kourtney Hanks , CNM, FNP

Nurse Practitioner

NPI 1013371707

Certified Nurse Midwife, Family Nurse Practitioner

Dr. Gary Gray , DPT

Physical Therapist

NPI 1013968098

Doctor of Physical Therapy

John Navarro , PA-C

Physician Assistant

NPI 1023040722

Physician Assistant (Certified)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location December 30, 2024

Registered at 3680 NW SAMARITAN DR, CORVALLIS, OR 973303737 (Tel: 5417541150)

📍

Updated Business Mailing Address December 30, 2024

Registered at 444 NW ELKS DR, CORVALLIS, OR 973303745 (Tel: 5417541150)

👤

Provider Name / Credentials Updated April 28, 2021

Recorded as MALLORY FILLMORE, PA-C

📍

Updated Practice Location August 16, 2018

Registered at 3355 RIVERBEND DR STE 500, SPRINGFIELD, OR 97477 (Tel: 5418689500)

✅

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 19, 2017

Registered at 3355 RIVERBEND DR, STE 500, SPRINGFIELD, OR 974778800 (Tel: 5418689535)

📍

Updated Practice Location April 19, 2017

Registered at 3405 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 600041536 (Tel: 8475779300)

👤

Provider Name / Credentials Updated April 19, 2017

Recorded as MALLORY FILLMORE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Physician Assistant (License #PA174128 in OR)

✅

NPI Profile Active November 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2015

Registered at 3405 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 600041536 (Tel: 8475779300)

📍

Updated Business Mailing Address November 03, 2015

Registered at 981NWSPRUCE AVE, CORVALLIS, OR 973302111 (Tel: 5417580766)

👤

Provider Name / Credentials Updated November 03, 2015

Recorded as MALLORY FILLMORE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2015

Physician Assistant (License #PA174128 in OR)

🟢

Initial NPI Registration & Enumeration November 28, 2012

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: 1215272505

Entity Type:

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

Enumeration Date: November 28, 2012

Last Update: December 30, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

444 Nw Elks Dr

Corvallis, OR 973303745

Phone: 5417541150

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.