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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN CHARLES MALLOY DMD
NPI 1275572737
Dentist - Oral and Maxillofacial Surgery in Lewisburg, PA

Active since June 06, 2006Opted out of Medicare · through Mar 6, 2028
115 FARLEY CIRCLE, SUITE 203, LEWISBURG, PA 17837(570) 524-2828(570) 524-9199 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Charles Malloy Dmd NPPES

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

JOHN CHARLES MALLOY DMD (NPI 1275572737) is an individual oral and maxillofacial surgery provider in Lewisburg, Pennsylvania, licensed in Pennsylvania (DS030741L) and active in the NPI registry since June 2006. He has opted out of Medicare through March 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275572737
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJOHN CHARLES MALLOYCredential: DMD
Location Address115 FARLEY CIRCLE, SUITE 203Lewisburg, PA 17837
Mailing Address317 North Eleventh StreetSunbury, PA 17801 · (570) 286-1631 · Fax (570) 286-0595
Phone(570) 524-2828
Fax(570) 524-9199
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1275572737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in PA · DS030741L✔ Licensed in PA · DA031566
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
115 FARLEY CIRCLE, Lewisburg, PA 17837
Open in Google Maps ↗

Other Identifiers 2

Other50017985PA · Capital Blue Cross
Other83988PA · Geisinger Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

John Charles Malloy Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2018 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2018
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17837 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES

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

MRS. ANGELA M TROP LCSW
Social Worker (Clinical)
115 FARLEY CIRCLE, SUITE 108
LEWISBURG, PA 17837
Union County (717) 550-1293

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 John Malloy's NPI number?

The NPI number for John Malloy is 1275572737. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is John Malloy located?

John Malloy practices at 115 Farley Circle Suite 203, Lewisburg, PA 17837. The listed phone number is (570) 524-2828.

What is John Malloy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Malloy enrolled in Medicare?

No. John Malloy has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Malloy accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list John Malloy 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 John Malloy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.