MR. NORMAN ROBERT MALLORY PA-C
NPI 1710086608
Physician Assistant - Medical in Bangor, ME

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
98.44/100
CMS Quality Rating
360 BROADWAY STE 100, BANGOR, ME 04401(207) 907-3550(207) 907-3562 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Nov 6, 2019 (2 updates tracked since 2019).

About Mr. Norman Robert Mallory Pa-c NPPES

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

MR. NORMAN ROBERT MALLORY PA-C (NPI 1710086608) is an individual medical provider in Bangor, Maine, licensed in Maine (PA-692) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1710086608
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. NORMAN ROBERT MALLORYCredential: PA-C
Location Address360 BROADWAY STE 100Bangor, ME 04401-3979
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8941 · Fax (207) 777-4397
Fax(207) 907-3562
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1710086608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ME · PA-692
360 BROADWAY STE 100, Bangor, ME 04401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Norman Robert Mallory Pa-c 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 ID8022323310
PECOS Enrollment IDI20170802002636
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
149 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Mount Desert Island Hospital

Critical Access Hospitals · Bar Harbor, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201304
Location10 Wayman Lane, PO Box 8Bar Harbor, ME 04609 · Hancock County
Emergency services Birthing friendly

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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401
Internal Medicine (Gastroenterology)
360 BROADWAY STE 100
BANGOR, ME 04401

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 Norman Mallory's NPI number?

The NPI number for Norman Mallory is 1710086608. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Norman Mallory located?

Norman Mallory practices at 360 Broadway Ste 100, Bangor, ME 04401. The listed phone number is (207) 907-3550.

What is Norman Mallory's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Norman Mallory enrolled in Medicare?

Yes. Norman 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.

What insurance does Norman Mallory accept?

Health plans from Anthem Blue Cross and Blue Shield list Norman 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 Norman Mallory affiliated with any hospitals?

According to CMS data, Norman Mallory is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center and Mount Desert Island Hospital.

When was this NPI record last updated?

The NPPES record for Norman Mallory was last updated on February 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.