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MALLORY A. BOOTH PA-C
NPI 1073960118
Physician Assistant - Medical in Tuscaloosa, AL

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1050 RUBY TYLER PKWY, TUSCALOOSA, AL 35404(478) 743-7068(478) 741-1354 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Jan 18, 2022, Dec 7, 2021 and 2 more (5 updates tracked since 2016).

About Mallory A. Booth Pa-c NPPES

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

MALLORY A. BOOTH PA-C (NPI 1073960118) is an individual medical provider in Tuscaloosa, Alabama, licensed in Georgia (10676) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073960118
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY A. BOOTHCredential: PA-C
Location Address1050 RUBY TYLER PKWYTuscaloosa, AL 35404-2958
Mailing Address1050 Ruby Tyler PkwyTuscaloosa, AL 35404-2958 · (205) 759-7111
Phone(478) 743-7068
Fax(478) 741-1354
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 18, 2016
Last NPPES UpdateJune 14, 20265 updates tracked since enumeration
NPPES CertifiedJune 14, 2026
✔ NPI 1073960118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 10676
1050 RUBY TYLER PKWY, Tuscaloosa, AL 35404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Mallory A. Booth Pa-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 ID5890188874
PECOS Enrollment IDI20231006001899
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 3

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 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.
35 services30 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
14 services13 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.
11 services11 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.72
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

DR. WESLEY L SPRUILL MD
Pain Medicine (Interventional Pain Medicine)
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7246
MRS. SHANNA LEE POSEY CRNP
Nurse Practitioner (Family)
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7246
RICHARD CHARLES THOMASON JR. MD
Pain Medicine (Pain Medicine)
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7246
SOUTHEASTERN PAIN & REHABILITATION PHYSICIANS, PC
Pain Medicine (Pain Medicine)
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7246
JAMES BARRETT DARDEN MD
Pain Medicine (Interventional Pain Medicine)
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7246
MRS. DJUANA GAIL BLACK CRNP
Nurse Practitioner (Family)
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7246
AERIEL L COLEMAN DPT
Physical Therapist
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7860
THE DCH HEALTH CARE AUTHORITY
Clinic/Center
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 759-7190

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 Mallory Booth's NPI number?

The NPI number for Mallory Booth is 1073960118. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Mallory Booth located?

Mallory Booth practices at 1050 Ruby Tyler Pkwy, Tuscaloosa, AL 35404. The listed phone number is (478) 743-7068.

What is Mallory Booth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mallory Booth enrolled in Medicare?

Yes. Mallory Booth 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 Mallory Booth accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Mallory Booth 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.

When was this NPI record last updated?

The NPPES record for Mallory Booth was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.