JON MALLEN-ST. CLAIR M.D.
NPI 1134410038
Otolaryngology - Plastic Surgery within the Head & Neck in Los Angeles, CA

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
8635 W 3RD ST STE 590W, LOS ANGELES, CA 90048(310) 423-1220(310) 423-1230 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2021, Jan 13, 2021, Sep 12, 2017 (3 updates tracked since 2017).

About Jon Mallen-st. Clair M.d. NPPES

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

JON MALLEN-ST. CLAIR M.D. (NPI 1134410038) is an individual plastic surgery within the head & neck provider in Los Angeles, California, licensed in California (A125470) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2011).

NPPES Registry Identity

NPI1134410038
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameJON MALLEN-ST. CLAIRCredential: M.D.
Location Address8635 W 3RD ST STE 590WLos Angeles, CA 90048-6163
Mailing Address8635 W 3rd St Ste 590wLos Angeles, CA 90048-6163 · (310) 423-1220 · Fax (310) 423-1220
Fax(310) 423-1230
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2011
Enumeration DateApril 26, 2011
Last NPPES UpdateJanuary 21, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1134410038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in CA · A125470
Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

8635 W 3RD ST STE 590W, Los Angeles, CA 90048

Other Names 1

Other Name (5)Jon Mallen-st. Clair

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

Jon Mallen-st. Clair M.d. 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 ID7416240163
PECOS Enrollment IDI20160719000921
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 8

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.
116 services96 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.
46 services41 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.
36 services36 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
33 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 19

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

Otolaryngology
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Speech-Language Pathologist
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Physician Assistant
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Nurse Practitioner (Adult Health)
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Physician Assistant (Surgical)
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Speech-Language Pathologist
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Otolaryngology (Pediatric Otolaryngology)
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Otolaryngology
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048

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 Jon Mallen-st. Clair's NPI number?

The NPI number for Jon Mallen-st. Clair is 1134410038. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Jon Mallen-st. Clair located?

Jon Mallen-st. Clair practices at 8635 W 3rd St Ste 590W, Los Angeles, CA 90048. The listed phone number is (310) 423-1220.

What is Jon Mallen-st. Clair's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Jon Mallen-st. Clair enrolled in Medicare?

Yes. Jon Mallen-st. Clair 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.

When was this NPI record last updated?

The NPPES record for Jon Mallen-st. Clair was last updated on January 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.