GREGORY WILLIAM MALLEK M.D.
NPI 1003012303
Obstetrics & Gynecology in Hillsboro, OR


Quality Rating: 97.06 out of 100 score

NPI Status: Active since June 23, 2007

Contact Information

364 SE 8TH AVE
SUITE 205
HILLSBORO, OR
ZIP 97123
Phone: (503) 681-4145

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  • Individual
  • Male
  • Years of Experience 22
  • Obstetrics & Gynecology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About GREGORY MALLEK

Gregory Mallek is a women's health care provider established in Hillsboro, Oregon and his medical specialization is Obstetrics & Gynecology with more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1003012303 assigned on June 2007. The practitioner's primary taxonomy code is 207V00000X with license number MD151488 (OR). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1003012303
Provider Name
GREGORY WILLIAM MALLEK M.D.
Gender
Male
Entity Type
Individual
Location Address
364 SE 8TH AVE SUITE 205 HILLSBORO, OR 97123
Location Phone
(503) 681-4145
Mailing Address
364 SE 8TH AVE SUITE 205 HILLSBORO, OR 97123
Mailing Phone
(503) 681-4145
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
06-23-2007
Last Update Date
04-14-2016
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Women's health care providers like Gregory Mallek treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Gregory Mallek is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.06, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.53 for a new patient copayment and $18.91 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD151488
License State
OR
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

PECOS Enrollment and Medicare Participation Status

Gregory Mallek is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6406972785

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190730002318

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97123 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $138.14
  • Minimum New Patient Price $60.52
  • Maximum New Patient Price $182.22
  • Average New Patient Copayment $34.53
  • Minimum New Patient Copayment $15.13
  • Maximum New Patient Copayment $45.55

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.67
  • Minimum Established Patient Price $19.23
  • Maximum Established Patient Price $149.48
  • Average Established Patient Copayment $18.91
  • Minimum Established Patient Copayment $4.8
  • Maximum Established Patient Copayment $37.37

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 97.06 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 94.13

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003012303
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 3 + 0 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003012303 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174505044 MOHAMMED A TAHER MD
Individual
Internal Medicine364 SE 8TH AVE SUITE 301
HILLSBORO, OR 97123
(503) 681-4233
1669444691DR. BARBARA J HILLS M.D.
Individual
Psychiatry & Neurology (Neurology)364 SE 8TH AVE SUITE 101
HILLSBORO, OR 97123
(503) 681-0816
1619949658DR. DANIEL K FRIEDMAN M.D.
Individual
Psychiatry & Neurology (Neurology)364 SE 8TH AVE SUITE 101
HILLSBORO, OR 97123
(503) 681-0816
1770555716DR. WAN-JUI CHEN M.D.
Individual
Psychiatry & Neurology (Neurology)364 SE 8TH AVE SUITE 101
HILLSBORO, OR 97123
(503) 681-0816
1144245820 JULIE ANN OLDS MD
Individual
Obstetrics & Gynecology364 SE 8TH AVE SUITE 205
HILLSBORO, OR 97123
(503) 681-1690
1740379874 ROSALIA OCAMICA PA-C
Individual
Physician Assistant (Surgical)364 SE 8TH AVE SUITE # 200
HILLSBORO, OR 97123
(503) 681-4310
1861572604 MASUMA CHOWDHURY M.D.
Individual
Internal Medicine364 SE 8TH AVE SUITE 301
HILLSBORO, OR 97123
(503) 681-4233
1366748733TUALITY HEALTHCARE
Organization
Clinic/Center (Infusion Therapy)364 SE 8TH AVE SUITE 105
HILLSBORO, OR 97123
(503) 681-1064
1619031838DR. MARK R STONE M.D.
Individual
Internal Medicine (Hematology & Oncology)364 SE 8TH AVE SUITE 108-A
HILLSBORO, OR 97123
(503) 640-3687
1659576437 MICHAEL CHU MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)364 SE 8TH AVE SUITE 201
HILLSBORO, OR 97123
(503) 681-4363
1902016371TUALITY HEALTHCARE
Organization
Clinic/Center364 SE 8TH AVE SUITE 301
HILLSBORO, OR 97123
(503) 681-4233
1902102379TUALITY HEALTHCARE
Organization
Clinic/Center364 SE 8TH AVE SUITE 108-A
HILLSBORO, OR 97123
(503) 640-3687
1881990257TUALITY HEALTHCARE
Organization
Clinic/Center364 SE 8TH AVE SUITE 201
HILLSBORO, OR 97123
(503) 681-4363
1952607970TUALITY HEALTHCARE
Organization
Clinic/Center364 SE 8TH AVE STE 301-A
HILLSBORO, OR 97123
(503) 681-4310
1386710903DR. GERALD E GIBBS M.D.
Individual
Internal Medicine (Hematology & Oncology)364 SE 8TH AVE SUITE 108-A
HILLSBORO, OR 97123
(503) 640-3687
1821110065DR. ROBERT M CAHN M.D.
Individual
Surgery364 SE 8TH AVE SUITE 301A
HILLSBORO, OR 97123
(503) 681-4310
1336399682DR. MICHAEL GREGORY DOORLY MD, MS
Individual
Colon & Rectal Surgery364 SE 8TH AVE SUITE 301A
HILLSBORO, OR 97123
(503) 681-4310
1154649382DR. BRANDICE T DURKAN M.D.
Individual
Surgery364 SE 8TH AVE SUITE 301A
HILLSBORO, OR 97123
(503) 681-4310
1346536992MISS JULIA ELIZABETH SHANNON WHNP
Individual
Nurse Practitioner (Women's Health)364 SE 8TH AVE SUITE 205
HILLSBORO, OR 97123
(503) 681-4145
1962959171DR. TOMMY GIALUN WONG PHARMD, RPH
Individual
Pharmacist364 SE 8TH AVE SUITE 107
HILLSBORO, OR 97123
(503) 681-1338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012303, enumerated in the NPI registry as an "individual" on June 23, 2007

The provider is located at 364 Se 8th Ave Suite 205 Hillsboro, Or 97123 and the phone number is (503) 681-4145

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider has more than 22 years of experience.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $138.14 with an average copayment of $34.53 for new patient appointments. Established patients should expect a typical charge of $75.67 and an average copayment of 18.91. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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