MR. ABDELKADER MALLOUK MD, OD
NPI 1407949621
Family Medicine in Horseheads, NY

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
81.01/100
CMS Quality Rating
100 JOHN ROEMMELT DR STE 302, HORSEHEADS, NY 14845(607) 873-1810(607) 562-3157 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Abdelkader Mallouk Md, Od NPPES

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

MR. ABDELKADER MALLOUK MD, OD (NPI 1407949621) is an individual family medicine provider in Horseheads, New York, licensed in New York (277295) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of New England College Of Optometry (1997).

NPPES Registry Identity

NPI1407949621
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. ABDELKADER MALLOUKCredential: MD, OD
Location Address100 JOHN ROEMMELT DR STE 302Horseheads, NY 14845-8304
Mailing Address571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230 · (607) 271-2050
Fax(607) 562-3157
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1997
Enumeration DateOctober 2, 2006
Last NPPES UpdateApril 11, 2022
NPPES CertifiedApril 11, 2022
NPI 1407949621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 277295
Definition

Family 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.

Also ListedOptometristTaxonomy 152W00000X · License OPC3141 (FL), T005983 (NY), OE8142 (PA)
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 277295 (NY)
100 JOHN ROEMMELT DR STE 302, Horseheads, NY 14845

Other Identifiers 1

Medicaid01916898NY

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

Mr. Abdelkader Mallouk Md, 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.

PECOS PAC ID7113912395
PECOS Enrollment IDI20040416001402
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
280 services149 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
44 services40 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
30 services28 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services14 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services11 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330090
Location600 Roe AvenueElmira, NY 14905 · Chemung County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14845 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.46
Promoting Interoperability99
Improvement Activities40
Cost65.75

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers27 claims54 services$5.67 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims22 services$15.08 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier15 claims15 services$10.45 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims16 services$34.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims24 services$80.52 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 3

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

Nurse Practitioner
100 JOHN ROEMMELT DR STE 302
HORSEHEADS, NY 14845
Family Medicine
100 JOHN ROEMMELT DR STE 302
HORSEHEADS, NY 14845
Nurse Practitioner (Family)
100 JOHN ROEMMELT DR STE 302
HORSEHEADS, NY 14845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407949621, enumerated as an "individual" on October 02, 2006.

The provider is located at 100 JOHN ROEMMELT DR STE 302 HORSEHEADS, NY 14845 and the phone number is (607) 873-1810.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.

Abdelkader Mallouk is affiliated with: ARNOT OGDEN MEDICAL CENTER.