DR. MALLORY ELORA THOMPSON OD
NPI 1396350203
Optometrist in Port Charlotte, FL
About Dr. Mallory Elora Thompson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MALLORY ELORA THOMPSON OD (NPI 1396350203) is an individual optometrist in Port Charlotte, Florida, licensed in Florida (OPC5853) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Southern College Of Optometry (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mallory Elora Thompson Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bradenton, FL 34209
- Reassigned Medicare billing, Florida enrollment
- 64 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.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mallory Thompson's NPI number?
The NPI number for Mallory Thompson is 1396350203. It was assigned to this individual provider in the NPPES registry on September 9, 2020.
Where is Mallory Thompson located?
Mallory Thompson practices at 21275 Olean Blvd Unit 1, Port Charlotte, FL 33952. The listed phone number is (239) 466-2020.
What is Mallory Thompson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mallory Thompson enrolled in Medicare?
Yes. Mallory Thompson 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.
Which organization bills Medicare for Mallory Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Thompson reassigns Medicare benefits to Eye Associates Of Manatee, LLP (Bradenton, FL). The 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 Mallory Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Thompson accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and AvMed and 15 other insurers list Mallory Thompson 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 Mallory Thompson was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Mallory Elora Thompson, OD · NPI 1396350203
Optometrist provider in Port Charlotte, Florida. Individual provider, active in the CMS NPPES registry since September 9, 2020.
## Identity
- **NPI:** 1396350203 (Entity type: Individual)
- **Enumerated:** September 9, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC5853 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 21275 OLEAN BLVD UNIT 1, Port Charlotte, FL 33952-6704
- **Phone:** (239) 466-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eye Associates Of Manatee, LLP (NPI 1366483851, Bradenton, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396350203) · Data from the CMS NPPES public registry.