JAMES CHRISTOPHER MALLEN DO
NPI 1720372782
Internal Medicine - Pulmonary Disease in West Des Moines, IA

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
5950 UNIVERSITY AVE STE 131, WEST DES MOINES, IA 50266(515) 875-9550(515) 875-9551 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Aug 17, 2021, Jun 22, 2018 and 1 more (4 updates tracked since 2018).

About James Christopher Mallen Do NPPES

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

JAMES CHRISTOPHER MALLEN DO (NPI 1720372782) is an individual pulmonary disease provider in West Des Moines, Iowa, licensed in Iowa (DO-04392) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720372782
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJAMES CHRISTOPHER MALLENCredential: DO
Location Address5950 UNIVERSITY AVE STE 131West Des Moines, IA 50266
Mailing AddressPo Box 424Des Moines, IA 50302-0424 · (515) 875-9255 · Fax (515) 875-9223
Fax(515) 875-9551
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 7, 2011
Last NPPES UpdateJanuary 2, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1720372782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IA · DO-04392
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License DO-04392 (IA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License DO-04392 (IA)
5950 UNIVERSITY AVE STE 131, West Des Moines, IA 50266

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

James Christopher Mallen Do 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 ID1153568548
PECOS Enrollment IDI20130725000061
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 25

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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
300 services250 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.
254 services199 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.
244 services225 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
244 services138 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
172 services165 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services63 patients

Hospital Affiliations CMS Care Compare 4

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Knoxville Hospital & Clinics

Critical Access Hospitals · Knoxville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161355
Location1002 South Lincoln StreetKnoxville, IA 50138 · Marion County
Emergency services

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Boone County Hospital

Critical Access Hospitals · Boone, IA
OwnershipGovernment - Local
CMS Certification Number161372
Location1015 Union StreetBoone, IA 50036 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50266 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers129 claims129 services$36.76 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers85 claims85 services$85.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers92 claims167 services$32.89 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers43 claims187 services$20.13 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers39 claims149 services$15.81 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers78 claims78 services$58.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Sleep Medicine)
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266
Internal Medicine (Pulmonary Disease)
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266
Internal Medicine (Pulmonary Disease)
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266
Internal Medicine (Pulmonary Disease)
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266
Nurse Practitioner (Family)
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266
Nurse Practitioner (Family)
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266
Internal Medicine (Pulmonary Disease)
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266
Nurse Practitioner
5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

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 James Mallen's NPI number?

The NPI number for James Mallen is 1720372782. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is James Mallen located?

James Mallen practices at 5950 University Ave Ste 131, West Des Moines, IA 50266. The listed phone number is (515) 875-9550.

What is James Mallen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Mallen enrolled in Medicare?

Yes. James Mallen 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 James Mallen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list James Mallen 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 James Mallen affiliated with any hospitals?

According to CMS data, James Mallen is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, Knoxville Hospital & Clinics, Pella Regional Health Center and Boone County Hospital.

When was this NPI record last updated?

The NPPES record for James Mallen was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.