MRS. MALLORY GIBBONS N.P.
NPI 1083150361
Nurse Practitioner - Acute Care in Worcester, MA

Active since January 11, 2017PECOS Enrolled
75/100
CMS Quality Rating
21 EASTERN AVE, WORCESTER, MA 01605(508) 556-0223 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2022, Mar 9, 2022, Feb 23, 2022 and 4 more (7 updates tracked since 2017).

About Mrs. Mallory Gibbons N.p. NPPES

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

MRS. MALLORY GIBBONS N.P. (NPI 1083150361) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN2269601) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083150361
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. MALLORY GIBBONSCredential: N.P.
Location Address21 EASTERN AVEWorcester, MA 01605-3094
Mailing Address21 Eastern AveWorcester, MA 01605-3094 · (508) 556-0223 · Fax (774) 420-2289
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 11, 2017
Last NPPES UpdateApril 19, 20227 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
NPI 1083150361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MA · RN2269601
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2269601 (MA)
21 EASTERN AVE, Worcester, MA 01605

Other Identifiers 1

Medicaid110121244AMA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mallory Gibbons N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032494521
PECOS Enrollment IDI20170324000139
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.
98 services79 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.
76 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

Surgery (Vascular Surgery)
21 EASTERN AVE, FL 3
WORCESTER, MA 01605
General Practice
21 EASTERN AVE
WORCESTER, MA 01605
Clinic/Center (Endoscopy)
21 EASTERN AVE
WORCESTER, MA 01605
Internal Medicine (Gastroenterology)
21 EASTERN AVE
WORCESTER, MA 01605

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 Gibbons's NPI number?

The NPI number for Mallory Gibbons is 1083150361. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Mallory Gibbons located?

Mallory Gibbons practices at 21 Eastern Ave, Worcester, MA 01605. The listed phone number is (508) 556-0223.

What is Mallory Gibbons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mallory Gibbons enrolled in Medicare?

Yes. Mallory Gibbons is registered in the Medicare PECOS enrollment system.

What insurance does Mallory Gibbons accept?

Health plans from Anthem Blue Cross and Blue Shield list Mallory Gibbons 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 Mallory Gibbons affiliated with any hospitals?

According to CMS data, Mallory Gibbons is affiliated with Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Gibbons was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.