DR. VINCENT D MALLORY MD
NPI 1215918503
Family Medicine in Pineville, LA
About Dr. Vincent D Mallory Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VINCENT D MALLORY MD (NPI 1215918503) is an individual family medicine provider in Pineville, Louisiana, licensed in Louisiana (015979) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Vincent D Mallory Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Vincent Mallory reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 8 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Louisiana enrollment
- 169 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Louisiana enrollment
- 92 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PINEVILLE, LA 71360
PINEVILLE, LA 71360
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 Vincent Mallory's NPI number?
The NPI number for Vincent Mallory is 1215918503. It was assigned to this individual provider in the NPPES registry on November 14, 2005. The provider is also known as Dr. Vincent D Mallory MD LLC.
Where is Vincent Mallory located?
Vincent Mallory practices at 2495 Shreveport Hwy, Pineville, LA 71360. The listed phone number is (318) 466-2106.
What is Vincent Mallory's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vincent Mallory enrolled in Medicare?
Yes. Vincent Mallory is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Vincent Mallory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Mallory reassigns Medicare benefits to 3 organizations: Healogics Specialty Physicians Of Louisiana, LLC (Lake Charles, LA), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and Cogent Healthcare Of Texas, PA (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vincent Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vincent Mallory accept?
Health plans from CHRISTUS Health Plan list Vincent Mallory 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 Vincent Mallory was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Vincent D Mallory, MD · NPI 1215918503
Family Medicine physician in Pineville, Louisiana. Individual provider, active in the CMS NPPES registry since November 14, 2005.
## Identity
- **NPI:** 1215918503 (Entity type: Individual)
- **Enumerated:** November 14, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 015979 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2495 SHREVEPORT HWY, Pineville, LA 71360-4044
- **Phone:** (318) 466-2106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healogics Specialty Physicians Of Louisiana, LLC (NPI 1134528623, Lake Charles, LA); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2023
- **Other identifiers:** Medicaid 1574520 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215918503) · Data from the CMS NPPES public registry.