MALLORY LAKE MCCOY PA-C - NPI 1699149906 - Physician Assistant in Raleigh, NC

Q: What is Mallory Mccoy's NPI number?

The NPI number for Mallory Mccoy is 1699149906. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Q: What is Mallory Mccoy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Mccoy was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Mallory Lake Mccoy Pa-c NPPES

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

MALLORY LAKE MCCOY PA-C (NPI 1699149906) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-06072) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699149906

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMALLORY LAKE MCCOYCredential: PA-C

Location Address4601 LAKE BOONE TRL STE 1BRaleigh, NC 27607-7503

Mailing Address4601 Lake Boone Trl Ste 1bRaleigh, NC 27607-7503 · (919) 781-1800 · Fax (919) 781-1899

Phone(919) 781-1800

Fax(919) 781-1899

Sole ProprietorYes

Enumeration DateNovember 24, 2015

Last NPPES UpdateMay 24, 20234 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1699149906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-06072

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4601 LAKE BOONE TRL STE 1B, Raleigh, NC 27607

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Lake Mccoy Pa-c 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 27607 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 5

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

PETER B. VAN DYCK, MD & ASSOCIATES, PA

Psychiatry & Neurology (Psychiatry)