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DR. CHARLES J. MALLO DO
NPI 1063611788
Psychiatry & Neurology - Psychiatry in Portland, ME

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
216 VAUGHAN ST, PORTLAND, ME 04102(207) 662-2221(207) 810-2367 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles J. Mallo Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES J. MALLO DO (NPI 1063611788) is an individual psychiatry provider in Portland, Maine, licensed in Maine (DO2378) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063611788
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CHARLES J. MALLOCredential: DO
Location Address216 VAUGHAN STPortland, ME 04102-3204
Mailing Address78 Atlantic PlSouth Portland, ME 04106-2316 · (207) 661-6654 · Fax (207) 842-7773
Phone(207) 662-2221
Fax(207) 810-2367
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 12, 2007
Last NPPES UpdateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1063611788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in ME · DO2378
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
216 VAUGHAN ST, Portland, ME 04102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles J. Mallo Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173777547
PECOS Enrollment IDI20131002000083
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA HARMON JACOBSON APRN CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
MAUREEN C JORDAN LCSW
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
MELANIE HANNON LCSW, LADC
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
KATHLEEN SPRENGEL LCSW
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-4359
ELIZABETH LARGEY RNC
Registered Nurse (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2019
HARRY R KATZ LCSW
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
MR. WAYNE H BACHNER LCSW
Social Worker
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
LAURA BEATRICE KAVESH PHD
Psychologist (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mallo's NPI number?

The NPI number for Charles Mallo is 1063611788. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Charles Mallo located?

Charles Mallo practices at 216 Vaughan St, Portland, ME 04102. The listed phone number is (207) 662-2221.

What is Charles Mallo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Charles Mallo enrolled in Medicare?

Yes. Charles Mallo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Mallo accept?

Health plans from Harvard Pilgrim Health Care list Charles Mallo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Mallo affiliated with any hospitals?

According to CMS data, Charles Mallo is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Mallo was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.