Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ANDREW SEAN MALLON DO
NPI 1255569570
Otolaryngology in Clearwater, FL

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756(727) 216-0700(727) 216-0704 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrew Sean Mallon Do NPPES

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

DR. ANDREW SEAN MALLON DO (NPI 1255569570) is an individual otolaryngology provider in Clearwater, Florida, licensed in Florida (OS12619) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255569570
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ANDREW SEAN MALLONCredential: DO
Location Address1330 S FORT HARRISON AVEClearwater, FL 33756-3313
Mailing Address2515 Countryside Blvd Ste EClearwater, FL 33763-1603 · (727) 216-0700 · Fax (727) 216-0704
Fax(727) 216-0704
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1255569570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in FL · OS12619
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1330 S FORT HARRISON AVE, Clearwater, FL 33756

Other Identifiers 2

Medicaid010925000FL
OtherOS12619FL · State Of Florida Medical License

Accepted 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

Dr. Andrew Sean Mallon Do 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 ID3779709100
PECOS Enrollment IDI20140721002124
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 24

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.
635 services380 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
416 services13 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
357 services11 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
326 services218 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.
320 services229 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.
225 services225 patients

Hospital Affiliations CMS Care Compare 5

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100043
Location601 Main StDunedin, FL 34698 · Pinellas County
Emergency services

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
96%299 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
98%321 patients4/55-star benchmark: 100%
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis
100%152 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
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.
98%4,619 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$33.63 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers17 claims64 services$13.19 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers17 claims17 services$49.82 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers14 claims14 services$15.65 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$11.35 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers25 claims104 services$1.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Audiologist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Audiologist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Audiologist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Audiologist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Specialist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Specialist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Specialist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756

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 Andrew Mallon's NPI number?

The NPI number for Andrew Mallon is 1255569570. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Andrew Mallon located?

Andrew Mallon practices at 1330 S Fort Harrison Ave, Clearwater, FL 33756. The listed phone number is (727) 216-0700.

What is Andrew Mallon's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Andrew Mallon enrolled in Medicare?

Yes. Andrew Mallon 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 Andrew Mallon accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Andrew Mallon 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 Andrew Mallon affiliated with any hospitals?

According to CMS data, Andrew Mallon is affiliated with Mease Dunedin Hospital, St Anthonys Hospital, St Josephs Hospital, Morton Plant Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Mallon was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.