MARCUS BINSTEAD MALLEN MD
NPI 1669132403
Family Medicine in Fayette, MO

Q: What is Marcus Mallen's NPI number?

The NPI number for Marcus Mallen is 1669132403. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Q: What is Marcus Mallen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marcus Mallen was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 21, 2021PECOS Enrolled

308 S CHURCH ST, FAYETTE, MO 65248(660) 248-2217 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Dec 21, 2021 (2 updates tracked since 2021).

On this page

About Marcus Binstead Mallen Md NPPES

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

MARCUS BINSTEAD MALLEN MD (NPI 1669132403) is an individual family medicine provider in Fayette, Missouri, licensed in Missouri (2025024726) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1669132403

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARCUS BINSTEAD MALLENCredential: MD

Location Address308 S CHURCH STFayette, MO 65248-1243

Mailing Address1 Hospital DrColumbia, MO 65212-1243 · (573) 884-2912

Phone(660) 248-2217

Sole ProprietorNo

Enumeration DateDecember 21, 2021

Last NPPES UpdateJune 30, 20252 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1669132403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2025024726

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

308 S CHURCH ST, Fayette, MO 65248

Open in Google Maps ↗

Secondary Practice Location 1

Location 11601 Kittyhawk Dr Apt 3Columbia, MO 65202-0955 · Phone (816) 617-3870

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcus Binstead Mallen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65248 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Leave this field empty

Other Providers at the Same Location NPPES 18

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

SAM CHENG MD

Family Medicine