MALLIK N TELLA MD
NPI 1649380395
Orthopaedic Surgery in Portland, OR

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
10123 SE MARKET ST, PORTLAND, OR 97216(503) 257-2500 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mallik N Tella Md NPPES

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

MALLIK N TELLA MD (NPI 1649380395) is an individual orthopaedic surgery provider in Portland, Oregon, licensed in Oregon (MD155385) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Northwestern University Feinberg Medical School (2005).

NPPES Registry Identity

NPI1649380395
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMALLIK N TELLACredential: MD
Location Address10123 SE MARKET STPortland, OR 97216-2599
Mailing Address10123 Se Market StPortland, OR 97216-2532 · (503) 257-2500
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2005
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1649380395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in OR · MD155385
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
10123 SE MARKET ST, Portland, OR 97216

Secondary Practice Locations 2

Location 1930 SW Abbey StNewport, OR 97365-4820 · Phone (541) 265-2244
Location 2530 9th StFlorence, OR 97439-7388 · Phone (541) 997-7104 · Fax (541) 997-5975

Other Identifiers 1

Medicaid500637769OR

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

Mallik N Tella 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 ID1153591706
PECOS Enrollment IDI20110908002357
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

8

Medicare enrollment records show Mallik Tella reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
10123 SE MARKET ST
Portland, OR 97216
  • Reassigned Medicare billing, Oregon enrollment
  • 331 clinicians in this Medicare group
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 clinicians in this Medicare group
Multi-Specialty
33 NICHOLS PKWY
Hood River, OR 97031
  • Reassigned Medicare billing, Oregon enrollment
  • 195 clinicians in this Medicare group
Critical Access
3043 NE 28TH STREET
Lincoln City, OR 97367
  • Reassigned Medicare billing, Oregon enrollment
  • 277 clinicians in this Medicare group
Rural Health
531 N HIGHWAY 101 STE A
Depoe Bay, OR 97341
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1912257460 (Oregon)
  • 332 clinicians in this Medicare group
Multi-Specialty
380 9TH ST
Florence, OR 97439
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1578552402 (Oregon)
  • 172 clinicians in this Medicare group
Pediatrics
600 NW 11TH ST STE E33
Hermiston, OR 97838
  • Reassigned Medicare billing, Oregon enrollment
  • 344 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.29
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
10123 SE MARKET ST
PORTLAND, OR 97216
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Hospitalist
10123 SE MARKET ST
PORTLAND, OR 97216
Nurse Anesthetist, Certified Registered
10123 SE MARKET ST
PORTLAND, OR 97216
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Anesthesiology
10123 SE MARKET ST
PORTLAND, OR 97216
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216

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 Mallik Tella's NPI number?

The NPI number for Mallik Tella is 1649380395. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mallik Tella located?

Mallik Tella practices at 10123 SE Market St, Portland, OR 97216. The listed phone number is (503) 257-2500.

What is Mallik Tella's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mallik Tella enrolled in Medicare?

Yes. Mallik Tella 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 Mallik Tella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallik Tella reassigns Medicare benefits to 8 organizations: Portland Adventist Medical Center (Portland, OR), Legacy Clinics LLC (Portland, OR), Silverton Health (Molalla, OR), Mid-Columbia Medical Center (Hood River, OR), Samaritan North Lincoln Hospital (Lincoln City, OR) and 3 more organizations, listed in the Medicare section above. 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 Mallik Tella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallik Tella accept?

Health plans from Moda Health Plan, Inc. list Mallik Tella 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 Mallik Tella was last updated on October 2, 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.