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DR. VICTORIA MALLON MD
NPI 1477580397
Family Medicine in Pueblo, CO

Active since June 27, 2006Opted out of Medicare · through Oct 1, 2028
1300 FORTINO BLVD, PUEBLO, CO 81008(719) 404-5100 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 26, 2026, Jan 22, 2026 (2 updates tracked since 2026).

About Dr. Victoria Mallon Md NPPES

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

DR. VICTORIA MALLON MD (NPI 1477580397) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (39730) and active in the NPI registry since June 2006. She has opted out of Medicare through October 1, 2028 and remains eligible to order and refer and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2000).

NPPES Registry Identity

NPI1477580397
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VICTORIA MALLONCredential: MD
Location Address1300 FORTINO BLVDPueblo, CO 81008-2077
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (866) 808-6005
Phone(719) 404-5100
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2000
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1477580397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 39730
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.
1300 FORTINO BLVD, Pueblo, CO 81008
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Other Identifiers 1

Medicaid20631561CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Victoria Mallon Md 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 October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 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 81008 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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
5 suppliers24 claims24 services$32.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers17 claims17 services$83.62 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers21 claims56 services$32.45 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers11 claims65 services$12.27 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
4 suppliers17 claims17 services$44.13 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers17 claims17 services$14.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Victoria Mallon's NPI number?

The NPI number for Victoria Mallon is 1477580397. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Victoria Mallon located?

Victoria Mallon practices at 1300 Fortino Blvd, Pueblo, CO 81008. The listed phone number is (719) 404-5100.

What is Victoria Mallon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Victoria Mallon enrolled in Medicare?

No. Victoria Mallon has opted out of Medicare through October 1, 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.

When was this NPI record last updated?

The NPPES record for Victoria Mallon was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.