1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Physician Assistant
  6. NPI Profile

MALLORY MARIE MCNICHOLAS DOTSON PA-C
NPI 1114179116
Physician Assistant - Medical in Portland, OR

Active since October 21, 2008PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
10000 SE MAIN ST, SUITE 112, PORTLAND, OR 97216(503) 255-3054(503) 255-7651 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Marie Mcnicholas Dotson Pa-c NPPES

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

MALLORY MARIE MCNICHOLAS DOTSON PA-C (NPI 1114179116) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA01405) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114179116
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY MARIE MCNICHOLAS DOTSONCredential: PA-C
Location Address10000 SE MAIN ST, SUITE 112Portland, OR 97216-2448
Mailing Address10000 Se Main St, Suite 112Portland, OR 97216-2448 · (503) 255-3054 · Fax (503) 255-7651
Phone(503) 255-3054
Fax(503) 255-7651
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 21, 2008
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1114179116 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 OR · PA01405
10000 SE MAIN ST, Portland, OR 97216
Open in Google Maps ↗

Other Names 1

Former Name (1)Mallory Marie Mcnicholas Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 and accepts Medicare assignment

Mallory Marie Mcnicholas Dotson 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 ID6709942428
PECOS Enrollment IDI20090304000838
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 6

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 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.
110 services69 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
27 services21 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.
23 services22 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.
18 services18 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
18 services16 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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. BENJAMIN F BALME MD
Orthopaedic Surgery
10000 SE MAIN ST, SUITE 128
PORTLAND, OR 97216
Multnomah County (503) 261-6961
JOHN F KRAMER DO
Family Medicine
10000 SE MAIN ST, SUITE 302
PORTLAND, OR 97216
Multnomah County (503) 255-2186
DONALD E GILES M.D.
Surgery
10000 SE MAIN ST, SUITE 316
PORTLAND, OR 97216
Multnomah County (503) 256-1575
DR. DAVID SKAU M.D.
Pediatrics
10000 SE MAIN ST, SUITE 105
PORTLAND, OR 97216
Multnomah County (503) 255-3544
MILTON C MACKETT M.D.
Surgery
10000 SE MAIN ST, SUITE 316
PORTLAND, OR 97216
Multnomah County (503) 256-1575
DR. SHARLENE MATTHIEU M.D.
Pediatrics
10000 SE MAIN ST, SUITE 105
PORTLAND, OR 97216
Multnomah County (503) 255-3544
CHRISTOPHER ESTES D.O.
Orthopaedic Surgery
10000 SE MAIN ST, SUITE 224
PORTLAND, OR 97216
Multnomah County (503) 261-6961
AMIR S PATEL
Urology
10000 SE MAIN ST
PORTLAND, OR 97216
Multnomah County (503) 346-1500

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 Dotson's NPI number?

The NPI number for Mallory Dotson is 1114179116. It was assigned to this individual provider in the NPPES registry on October 21, 2008. The provider is also known as Mallory Marie Mcnicholas Pa-C.

Where is Mallory Dotson located?

Mallory Dotson practices at 10000 SE Main St Suite 112, Portland, OR 97216. The listed phone number is (503) 255-3054.

What is Mallory Dotson's specialty?

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

Is Mallory Dotson enrolled in Medicare?

Yes. Mallory Dotson 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 Dotson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Mallory Dotson 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 Dotson affiliated with any hospitals?

According to CMS data, Mallory Dotson is affiliated with Ohsu Hospital And Clinics and Adventist Health Portland.

When was this NPI record last updated?

The NPPES record for Mallory Dotson was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.