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MARIA D MALLORY MD
NPI 1689664344
Surgery in Saint Cloud, MN

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131(320) 240-2118 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maria D Mallory Md NPPES

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

MARIA D MALLORY MD (NPI 1689664344) is an individual surgery provider in Saint Cloud, Minnesota, licensed in Minnesota (47718) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1689664344
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMARIA D MALLORYCredential: MD
Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Phone(320) 252-5131
Fax(320) 240-2118
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 25, 2005
Last NPPES UpdateNovember 28, 2011
✔ NPI 1689664344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MN · 47718
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1200 6TH AVE N, Saint Cloud, MN 56303
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Other Identifiers 10

Other754479100Medical Assistance
Other2357287Araz Group Americas Ppo
Other1701414Medica Health Plans
Medicare UPINI36624
Other132828U Care
Other6D053CEBlue Cross Blue Shield
Medicare ID-Type Unspecified020002150
Other1043623Preferred One
Other346G4MABlue Cross Blue Shield
OtherHP52031Health Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Maria D Mallory 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 ID8628008109
PECOS Enrollment IDI20050815000536
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

7

Medicare enrollment records show Maria Mallory reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic
Same address
Primary Care
1200 6TH AVE N
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1538696323 (320) 252-5131
St. Cloud Hospital
0.1 mi
General Acute Care Hospital
1406 6TH AVE NORTH
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 415 clinicians in this Medicare group
NPI 1043269798 (320) 307-3676
Centracare Health-Paynesville LLC
19 mi
Rural Health
130 1ST ST NE
Richmond, MN 56368
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1205269941 (Minnesota)
  • 124 clinicians in this Medicare group
NPI 1144653734 (320) 597-2122
Centracare Health System-Nr LLC
27 mi
Critical Access
1013 HART BLVD
Monticello, MN 55362
  • Reassigned Medicare billing, Minnesota enrollment
  • 285 clinicians in this Medicare group
NPI 1275872772 (763) 295-2945
Centracare Health System - Melrose
29 mi
Critical Access
525 W. MAIN STREET
Melrose, MN 56352
  • Reassigned Medicare billing, Minnesota enrollment
  • 180 clinicians in this Medicare group
NPI 1720045073 (320) 256-4231
Centracare Health System - Sauk Centre
40 mi
Rural Health
425 ELM ST N
Sauk Centre, MN 56378
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740553932 (Minnesota)
  • 173 clinicians in this Medicare group
NPI 1578813762 (320) 352-2221
Centracare Health System - Long Prairie
43 mi
Critical Access
50 CENTRACARE DR
Long Prairie, MN 56347
  • Reassigned Medicare billing, Minnesota enrollment
  • 156 clinicians in this Medicare group
NPI 1164471678 (320) 732-2141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

ELIZABETH RENDE
Pediatrics
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 251-2700
LYNN M WELLNER REGISTERED NURSE
Registered Nurse
1200 6TH AVE N
ST CLOUD, MN 56303
Stearns County (320) 240-2206
BHARATH MANU AKKARA VEETIL MBBS
Internal Medicine (Rheumatology)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
ABIGAIL HOLMBERG PA
Physician Assistant (Medical)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 240-2829
JESSICA HOLLENKAMP CNP
Nurse Practitioner
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
CHRISTINA K ANDERSON MD
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
YAGA SAINE RN, CNP
Nurse Practitioner (Adult Health)
1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303
Stearns County (320) 656-7020
JYH-YAU TSAUR MD
Internal Medicine
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131

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 Maria Mallory's NPI number?

The NPI number for Maria Mallory is 1689664344. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Maria Mallory located?

Maria Mallory practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Maria Mallory's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Maria Mallory enrolled in Medicare?

Yes. Maria Mallory 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 Maria Mallory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Mallory reassigns Medicare benefits to 7 organizations: Centracare Clinic (Saint Cloud, MN), St. Cloud Hospital (Saint Cloud, MN), Centracare Health-Paynesville LLC (Richmond, MN), Centracare Health System-Nr LLC (Monticello, MN), Centracare Health System - Melrose (Melrose, MN) and 2 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 Maria Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Mallory accept?

Health plans from HealthPartners and Sanford Health Plan list Maria Mallory 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 Maria Mallory affiliated with any hospitals?

According to CMS data, Maria Mallory is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Maria Mallory was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.