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DR. MALLORY E NOVACK D.O.
NPI 1427324185
Obstetrics & Gynecology in Colton, CA

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE # 206, COLTON, CA 92324(909) 580-2270(909) 580-3289 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2023, Sep 17, 2020, Nov 6, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Mallory E Novack D.o. NPPES

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

DR. MALLORY E NOVACK D.O. (NPI 1427324185) is an individual obstetrics & gynecology provider in Colton, California, licensed in California (20A13191) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1427324185
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MALLORY E NOVACKCredential: D.O.
Location Address400 N PEPPER AVE # 206Colton, CA 92324-1801
Mailing Address10273 Northridge DrRancho Cucamonga, CA 91737-3042 · (406) 498-1090
Phone(909) 580-2270
Fax(909) 580-3289
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 27, 2012
Last NPPES UpdateFebruary 19, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1427324185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · 20A13191✔ Licensed in MT · 49924
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
400 N PEPPER AVE # 206, Colton, CA 92324
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1401 W Pennsylvania AveAnaconda, MT 59711 · Phone (559) 499-6548
Location 2726 N Medical Center Dr E Ste 223Clovis, CA 93611-6886 · Phone (559) 472-4255 · Fax (559) 324-8786
Location 32210 E Illinois Ave Ste 301Fresno, CA 93701-2184 · Phone (559) 320-0555 · Fax (559) 320-0558
Location 4305 W Pennsylvania AveAnaconda, MT 59711-1900 · Phone (406) 563-7282 · Fax (406) 563-7243
Location 5210 Sunnyview Ln Ste 103Kalispell, MT 59901-3128 · Phone (406) 257-3872 · Fax (406) 758-7077

Other Identifiers 2

Other1427324185MT · Npi
Medicaid1427324185MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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 E Novack D.o. 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 ID6507152550
PECOS Enrollment IDI20160831001330
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mallory Novack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Obstetrics & Gynecology Medical Group, Inc.
0.3 mi
Obstetrics & Gynecology
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1144304817 (909) 580-6333
Community Hospital Of Anaconda
864 mi
Family Medicine
1102 E COMMERCIAL AVE
Anaconda, MT 59711
  • Reassigned Medicare billing, Montana enrollment
  • 104 clinicians in this Medicare group
NPI 1538597703 (406) 563-7282
Kalispell Regional Medical Center Inc
954 mi
Family Medicine
106 RIDGEWATER DR STE A
Polson, MT 59860
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1528386802 (406) 883-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Novack's NPI number?

The NPI number for Mallory Novack is 1427324185. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Mallory Novack located?

Mallory Novack practices at 400 N Pepper Ave # 206, Colton, CA 92324. The listed phone number is (909) 580-2270.

What is Mallory Novack's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mallory Novack enrolled in Medicare?

Yes. Mallory Novack 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 organizations bill Medicare for Mallory Novack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Novack reassigns Medicare benefits to 3 organizations: Valley Obstetrics & Gynecology Medical Group, Inc. (Colton, CA), Community Hospital Of Anaconda (Anaconda, MT) and Kalispell Regional Medical Center Inc (Polson, MT). Each 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 Novack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Novack accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Mallory Novack 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 Mallory Novack affiliated with any hospitals?

According to CMS data, Mallory Novack is affiliated with Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Mallory Novack was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.