JONATHAN R MALLEN MD
NPI 1588663140
Orthopaedic Surgery - Sports Medicine in Rockville Centre, NY

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
75.99/100
CMS Quality Rating
36 LINCOLN AVE, ROCKVILLE CENTRE, NY 11570(516) 536-2800(516) 302-8182 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan R Mallen Md NPPES

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

JONATHAN R MALLEN MD (NPI 1588663140) is an individual sports medicine provider in Rockville Centre, New York, licensed in New York (217086) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York Medical College (1998).

NPPES Registry Identity

NPI1588663140
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJONATHAN R MALLENCredential: MD
Location Address36 LINCOLN AVERockville Centre, NY 11570-5768
Mailing Address165 N Village Ave, Suite 128Rockville Centre, NY 11570-3761 · (516) 536-2800 · Fax (516) 302-8182
Fax(516) 302-8182
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1998
Enumeration DateJuly 18, 2005
Last NPPES UpdateNovember 13, 2013
NPI 1588663140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in NY · 217086
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
36 LINCOLN AVE, Rockville Centre, NY 11570

Other Identifiers 3

Medicare ID-Type Unspecified583G81NY
Medicare UPINI06242NY
Medicare NSC6894720001NY

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

Jonathan R Mallen Md 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 ID840276366
PECOS Enrollment IDI20040823000373
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 21

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
741 services416 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
245 services124 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
161 services139 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
137 services137 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
81 services20 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
72 services54 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

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.

75.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.98
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%642 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
31%973 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
97%3,873 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%785 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%2,220 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,314 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,567 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,326 patients
0%1,326 patients
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 840 patients
Patients totalRate: 1% · 840 patients
1%840 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier15 claims15 services$46.31 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 20

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

Physician Assistant (Surgical)
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570
Physician Assistant
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570
Surgery (Plastic and Reconstructive Surgery)
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570
Physician Assistant
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570
Physician Assistant (Surgical)
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570
Orthopaedic Surgery (Foot and Ankle Surgery)
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570
Orthopaedic Surgery (Sports Medicine)
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570
Orthopaedic Surgery
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570

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 Jonathan Mallen's NPI number?

The NPI number for Jonathan Mallen is 1588663140. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Jonathan Mallen located?

Jonathan Mallen practices at 36 Lincoln Ave, Rockville Centre, NY 11570. The listed phone number is (516) 536-2800.

What is Jonathan Mallen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jonathan Mallen enrolled in Medicare?

Yes. Jonathan Mallen 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.

Is Jonathan Mallen affiliated with any hospitals?

According to CMS data, Jonathan Mallen is affiliated with North Shore University Hospital, Mount Sinai South Nassau and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Mallen was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.