MALLORY MARTINI
NPI 1093583155
Physician Assistant in Hamilton, OH

Q: What is Mallory Martini's NPI number?

The NPI number for Mallory Martini is 1093583155. It was assigned to this individual provider in the NPPES registry on December 18, 2023. The provider is also known as Mallory Caproni PA.

Q: What is Mallory Martini'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 Mallory Martini was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 December 18, 2023PECOS EnrolledAccepts Medicare Assignment

903 NW WASHINGTON BLVD STE A, HAMILTON, OH 45013(513) 454-1111(513) 737-1592 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Nov 5, 2025, Jun 9, 2024 (3 updates tracked since 2024).

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About Mallory Martini NPPES

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

MALLORY MARTINI (NPI 1093583155) is an individual physician assistant in Hamilton, Ohio, licensed in Ohio (50.008814RX) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093583155

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMALLORY MARTINI

Location Address903 NW WASHINGTON BLVD STE AHamilton, OH 45013-6367

Mailing AddressPo Box 837Hamilton, OH 45012-0837 · (513) 820-0432 · Fax (513) 737-1592

Phone(513) 454-1111

Fax(513) 737-1592

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 18, 2023

Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1093583155 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 OH · 50.008814RX

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.

903 NW WASHINGTON BLVD STE A, Hamilton, OH 45013

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Other Names 1

Former Name (1)Mallory Caproni Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance.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 Martini 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 ID6002350063

PECOS Enrollment IDI20240701003032

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.

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.

22 services22 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.

22 services21 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45013 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.

BRIANNE KOESSEL CNP

Nurse Practitioner (Family)