JESSIE E. MALLALIEU P.A.-C.
NPI 1073669784
Physician Assistant in Frederick, MD

Q: What is Jessie Mallalieu's NPI number?

The NPI number for Jessie Mallalieu is 1073669784. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Jessie Mallalieu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessie Mallalieu was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment

91.66/100

CMS Quality Rating

63 THOMAS JOHNSON DR, SUITE B, FREDERICK, MD 21702(301) 698-2424 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessie E. Mallalieu P.a.-c. NPPES

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

JESSIE E. MALLALIEU P.A.-C. (NPI 1073669784) is an individual physician assistant in Frederick, Maryland, licensed in Maryland (C02972) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1073669784

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJESSIE E. MALLALIEUCredential: P.A.-C.

Location Address63 THOMAS JOHNSON DR, SUITE BFrederick, MD 21702-4384

Mailing Address63 Thomas Johnson Dr, Suite BFrederick, MD 21702-4384 · (301) 698-2424

Phone(301) 698-2424

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 26, 2007

Last NPPES UpdateMarch 22, 2013

✔ NPI 1073669784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C02972

Definition

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.

63 THOMAS JOHNSON DR, Frederick, MD 21702

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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

Jessie E. Mallalieu P.a.-c. 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 ID5193827293

PECOS Enrollment IDI20070220000490

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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

164 services31 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

83 services77 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

73 services55 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

73 services57 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

61 services55 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

44 services40 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

41 services38 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

19 services15 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.

18 services15 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

14 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

91.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.33

Improvement Activities

Other Providers at the Same Location NPPES 15

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

DR. CHARLES JACKSON VANMETER JR. MD

Dermatology (Dermatopathology)

63 THOMAS JOHNSON DR, STE A
FREDERICK, MD 21702

Frederick County (301) 663-0400

WARNER & VANMETER M.D.PA

Dermatology

63 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

Frederick County (301) 663-0400

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

Podiatrist

63 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702

Frederick County (301) 696-0818

DR. WYATT CLARENCE TO MD

Plastic Surgery (Plastic Surgery Within the Head and Neck)

63 THOMAS JOHNSON DR, SUITE
FREDERICK, MD 21702

Frederick County (301) 698-2424

AMANDA M BAILEY CRNP

Nurse Practitioner (Family)

63 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 694-7600

MRS. HILLARY ANN BORSA CRNP

Nurse Practitioner (Family)

63 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 694-7600

PHYSICIAN'S FOOTWEAR

Durable Medical Equipment & Medical Supplies

63 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702

Frederick County (301) 696-0600

DR. GERARD DELGRIPPO M.D.

Family Medicine

63 THOMAS JOHNSON DR, SUITE E
FREDERICK, MD 21702

Frederick County (301) 694-7600

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 Jessie Mallalieu's NPI number?

The NPI number for Jessie Mallalieu is 1073669784. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jessie Mallalieu located?

Jessie Mallalieu practices at 63 Thomas Johnson Dr Suite B, Frederick, MD 21702. The listed phone number is (301) 698-2424.

What is Jessie Mallalieu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessie Mallalieu enrolled in Medicare?

Yes. Jessie Mallalieu 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.

When was this NPI record last updated?

The NPPES record for Jessie Mallalieu was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.