DR. MALLORY SMITH BRAY M.D.
NPI 1669738118
Surgery in Evansville, IN
About Dr. Mallory Smith Bray M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MALLORY SMITH BRAY M.D. (NPI 1669738118) is an individual surgery provider in Evansville, Indiana, licensed in Indiana (01078495A) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 4
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
Dr. Mallory Smith Bray M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Bray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evansville, IN 47710
- Reassigned Medicare billing, Indiana enrollment
- 34 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairfield Memorial Hospital 1
Critical Access Hospitals · Fairfield, ILGood Samaritan Hospital
Acute Care Hospitals · Vincennes, INDeaconess Hospital Inc
Acute Care Hospitals · Evansville, INAscension St Vincent Evansville
Acute Care Hospitals · Evansville, INWomen's Hospital The
Acute Care Hospitals · Newburgh, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
EVANSVILLE, IN 47710
EVANSVILLE, IN 47710
EVANSVILLE, IN 47710
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 Bray's NPI number?
The NPI number for Mallory Bray is 1669738118. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Mallory Bray located?
Mallory Bray practices at 520 Mary St Ste 520, Evansville, IN 47710. The listed phone number is (812) 424-8231.
What is Mallory Bray's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mallory Bray enrolled in Medicare?
Yes. Mallory Bray 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 organization bills Medicare for Mallory Bray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Bray reassigns Medicare benefits to Evansville Surgical Associates Inc (Evansville, IN). The 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 Bray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Bray accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Mallory Bray 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 Bray affiliated with any hospitals?
According to CMS data, Mallory Bray is affiliated with Fairfield Memorial Hospital 1, Good Samaritan Hospital, Deaconess Hospital Inc, Ascension St Vincent Evansville and Women's Hospital The.
When was this NPI record last updated?
The NPPES record for Mallory Bray was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Dr. Mallory Smith Bray, M.D. · NPI 1669738118
Surgery physician in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1669738118 (Entity type: Individual)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 01078495A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 MARY ST STE 520, Evansville, IN 47710-1682
- **Phone:** (812) 424-8231 · **Fax:** (812) 435-8794
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Evansville Surgical Associates Inc (NPI 1497707517, Evansville, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 7100478760 (KY); Other 01078495 (IN); Medicaid 300003517 (IN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669738118) · Data from the CMS NPPES public registry.