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DR. SUSAN REGINA MALLERY DDS
NPI 1083688865
Dentist - Oral and Maxillofacial Pathology in Columbus, OH

Active since February 16, 2006PECOS Enrolled
305 W 12TH AVE, COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY, COLUMBUS, OH 43210(614) 292-5892(614) 292-9384 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan Regina Mallery Dds NPPES

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

DR. SUSAN REGINA MALLERY DDS (NPI 1083688865) is an individual oral and maxillofacial pathology provider in Columbus, Ohio, licensed in Ohio (30016966) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Dentistry (1981).

NPPES Registry Identity

NPI1083688865
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameDR. SUSAN REGINA MALLERYCredential: DDS
Location Address305 W 12TH AVE, COLLEGE OF DENTISTRY OHIO STATE UNIVERSITYColumbus, OH 43210-1267
Mailing Address305 W 12th Ave, College Of Dentistry Ohio State UniversityColumbus, OH 43210-1267 · (614) 292-5892 · Fax (614) 292-9384
Phone(614) 292-5892
Fax(614) 292-9384
Sole ProprietorNo
Medical School CMSOhio State University College Of DentistryGraduated 1981
Enumeration DateFebruary 16, 2006
Last NPPES UpdateMarch 8, 2012
✔ NPI 1083688865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in OH · 30016966
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

305 W 12TH AVE, Columbus, OH 43210
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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. Susan Regina Mallery Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274782370
PECOS Enrollment IDI20121004000860
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

DR. KATHERINE WINTER LETA VIG BDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-5972
DAWNE ELAINE STEFANIK DDS
Dentist (General Practice)
305 W 12TH AVE, 3039-F
COLUMBUS, OH 43210
Franklin County (614) 688-4762
DR. ROBERT ROLAND SEGHI DDS, MS
Dentist (Prosthodontics)
305 W 12TH AVE, DENTAL FACULTY PRACTICE ASSOCIATION INC.
COLUMBUS, OH 43210
Franklin County (614) 292-1472
DR. STEPHEN FREDERICK ROSENSTIEL BDS, MSD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-0941
DR. CANISE YVETTE BEAN DMD
Dentist (General Practice)
305 W 12TH AVE, ROOM 3157
COLUMBUS, OH 43210
Franklin County (614) 688-5567
DR. NANCY L CLELLAND DMD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-1472
DR. DEBORAH ANN MENDEL DDS
Dentist
305 W 12TH AVE, DENTAL FACULTY PRACTICE
COLUMBUS, OH 43210
Franklin County (614) 292-7604
DR. JOHN M NUSSTEIN DDS
Dentist (Endodontics)
305 W 12TH AVE, DENTAL FACULTY PRACTICE ASSOCIATION INC.-STANLEY G. VER
COLUMBUS, OH 43210
Franklin County (614) 292-1472

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 Susan Mallery's NPI number?

The NPI number for Susan Mallery is 1083688865. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Susan Mallery located?

Susan Mallery practices at 305 W 12th Ave College Of Dentistry Ohio State University, Columbus, OH 43210. The listed phone number is (614) 292-5892.

What is Susan Mallery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Susan Mallery enrolled in Medicare?

Yes. Susan Mallery is registered in the Medicare PECOS enrollment system.

What insurance does Susan Mallery accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Molina Healthcare list Susan Mallery 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 Susan Mallery was last updated on March 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.