DR. VINCENT D MALLORY MD NPI 1215918503

Family Medicine in Alexandria, LA

NPI 1215918503 Individual Male Years of Experience 42 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 30 Medicare Quality Reporting CLIA Number 19D0997943 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About VINCENT MALLORY

Vincent Mallory is a primary care provider established in Alexandria, Louisiana and his medical specialization is family medicine with more than 42 years of experience. He graduated from Meharry Medical College School Of Medicine in 1980. The NPI number of Vincent Mallory is 1215918503 and was assigned on November 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 015979 (LA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

A primary care provider (PCP) like Dr. Vincent D Mallory Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Vincent Mallory is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Vincent Mallory is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Willis Knighton Medical Center, Inc, Christus St Frances Cabrini Hospital and Rapides Regional Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: breast cancer screening, care plan, chronic care and preventative care management for empaneled patients, colorectal cancer screening, diabetes: eye exam, documentation of current medications in the medical record, e-prescribing, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, patient-specific education, preventive care and screening: influenza immunization, provide patient access, secure messaging, security risk analysis, specialized registry reporting and use of decision support and standardized treatment protocols.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.72 for a new patient copayment and $25.02 for an established patient copayment.

The CLIA number of Dr. Vincent D Mallory Md is 19D0997943 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Dr. Vincent D Mallory Md in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1215918503

Provider NameDR. VINCENT D MALLORY MD
Provider Location Address3311 PRESCOTT RD STE 316 ALEXANDRIA, LA 71301
Provider Mailing Address3311 PRESCOTT RD STE 316 ALEXANDRIA, LA 71301
GenderMale
NPI Entity TypeIndividual
Medical School NameMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year1980
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-14-2005
Last Update Date07-01-2010


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.015979
License StateLA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. VINCENT D MALLORY MD
3311 PRESCOTT RD
STE 316
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 487-1717
Fax: (318) 487-1170

Get Directions


Mailing Address

DR. VINCENT D MALLORY MD
3311 PRESCOTT RD
STE 316
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 487-1717
Fax: (318) 487-1170



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3375703762
PECOS Enrollment IDI20120321000783
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 71301 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.01 $172.78 $86.88
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14 $43.19 $21.72
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.83 $140.34 $100.08
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.2 $35.08 $25.02

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 30
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Breast Cancer Screening 19% 251
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Care Plan 100% 234
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Colorectal Cancer Screening 48% 604
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 26% 221
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Documentation of Current Medications in the Medical Record 100% 2646
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 97% 3088
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Medication Reconciliation 99% 176
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 88% 1145
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Influenza Immunization 7% 882
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Provide Patient Access 84% 1145
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 13% 1145
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 250Urinalysis, manual test (HCPCS:81002)
  • 40Administration of influenza virus vaccine (HCPCS:G0008)
  • 11Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vincent Mallory is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WILLIS KNIGHTON MEDICAL CENTER, INC2600 GREENWOOD ROAD
SHREVEPORT, LA 71103
(318) 212-4000Acute Care Hospitals190111
CHRISTUS ST FRANCES CABRINI HOSPITAL3330 MASONIC DRIVE
ALEXANDRIA, LA 71301
(318) 487-1122Acute Care Hospitals190019
RAPIDES REGIONAL MEDICAL CENTER211 4TH STREET
ALEXANDRIA, LA 71301
(318) 769-3000Acute Care Hospitals190026

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1215918503 is:

CLIA Number19D0997943
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1574520MEDICAID (05)LA
H56353MEDICARE UPIN (02)
4E080MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063410074DR. RICHARD PAUL TEXADA SR. MD
Individual
Urology3311 PRESCOTT RD SUITE 100
ALEXANDRIA, LA 71301
(318) 442-3384
1265431597DR. DARRYL J AGUILAR MD
Individual
Surgery3311 PRESCOTT RD STE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1528067873DR. JAMES MICHAEL CONERLY MD
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1205835329 JAMES SUTER PA
Individual
Physician Assistant3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1477552503DR. JAMES N PARRISH MD
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1538168554DR. WAYNE L WATKINS M.D.
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1972503415DR. STEPHEN PHILIP KATZ M.D.
Individual
Specialist3311 PRESCOTT RD SUITE 415
ALEXANDRIA, LA 71301
(318) 443-9300
1083607774JOAN WALKER, M.D., LLC
Organization
Family Medicine3311 PRESCOTT RD SUITE 411
ALEXANDRIA, LA 71301
(318) 767-2200
1366428617 HAISSAM N BOUZ M.D.
Individual
Specialist3311 PRESCOTT RD SUITE 314
ALEXANDRIA, LA 71301
(318) 448-8517
1972581973DR. AMY E. BABIN M. D.
Individual
Obstetrics & Gynecology3311 PRESCOTT RD SUITE 410
ALEXANDRIA, LA 71301
(318) 443-7222
1568440550DR. EDAN DAMIAN MORAN M. D.
Individual
Obstetrics & Gynecology (Gynecology)3311 PRESCOTT RD
ALEXANDRIA, LA 71301
(318) 443-7222
1316926280DR. GLENN R AUCOIN M. D.
Individual
Obstetrics & Gynecology3311 PRESCOTT RD SUITE 410
ALEXANDRIA, LA 71301
(318) 443-7222
1295714038 ROBERT M TAYLOR
Individual
Physical Medicine & Rehabilitation3311 PRESCOTT RD SUITE 203
ALEXANDRIA, LA 71301
(318) 442-6814
1770555286 ROBERT J. FREEDMAN JR. M.D.
Individual
Internal Medicine (Cardiovascular Disease)3311 PRESCOTT RD SUITE 112
ALEXANDRIA, LA 71301
(318) 767-0960
1336112861 ALAA H YOUNES M.D.
Individual
Internal Medicine (Cardiovascular Disease)3311 PRESCOTT RD SUITE 112
ALEXANDRIA, LA 71301
(318) 767-0960
1124134853DR. YASSER M NAKHLAWI M.D.
Individual
Pediatrics (Adolescent Medicine)3311 PRESCOTT RD SUITE 210
ALEXANDRIA, LA 71301
(318) 487-1477
1972690584 WILLIAM HENRY MACKLIN M.D., FACS
Individual
Specialist3311 PRESCOTT RD SUITE 105
ALEXANDRIA, LA 71301
(318) 484-2667
1679640254DR. GONZALO IVAR HIDALGO M.D.
Individual
Specialist3311 PRESCOTT RD SUITE 216
ALEXANDRIA, LA 71301
(318) 443-0490
1861527814MRS. BEVERLY SUE LOWENTRITT FNP
Individual
Nurse Practitioner (Family)3311 PRESCOTT RD
ALEXANDRIA, LA 71301
(318) 449-7917
1225249105 PHILIP A COLE II MD
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.