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

Q: 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.

Q: What is James Mallen's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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

Phone(515) 875-9550

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show James Mallen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Iowa Clinic PC

Same address

Family Medicine

5950 UNIVERSITY AVE, STE 151
West Des Moines, IA 50266

Reassigned Medicare billing, Iowa enrollment
318 clinicians in this Medicare group

NPI 1346233178 (515) 875-9100

Boone County Comprehensive Specialty Care

32 mi

Surgery

1015 UNION ST, SUITE 120
Boone, IA 50036

Reassigned Medicare billing, Iowa enrollment
12 clinicians in this Medicare group

NPI 1316982200 (515) 433-8700

Boone County Hospital

32 mi

Critical Access

1015 UNION ST
Boone, IA 50036

Reassigned Medicare billing, Iowa enrollment
53 clinicians in this Medicare group

NPI 1467434225 (515) 433-8470

Pella Regional Health Center

45 mi

Rehabilitation

2525 WASHINGTON ST
Pella, IA 50219

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1578520888 (Iowa)
129 clinicians in this Medicare group

NPI 1548923253 (641) 628-6728

St Anthony Regional Hospital And Nursing Home

64 mi

Registered Nurse

311 S CLARK ST
Carroll, IA 51401

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1720067127 (Iowa)
125 clinicians in this Medicare group

NPI 1710062088 (712) 792-3581

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 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

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

106 services103 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

104 services35 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.

66 services66 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

50 services50 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services48 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

37 services37 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

31 services30 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

31 services31 patients

Test to examine how well the lungs exchange gases 94729

28 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services20 patients

Test to measure expiratory airflow and volume 94010

23 services22 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

20 services20 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

19 services19 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

19 services17 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

19 services19 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

19 services19 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

17 services17 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

15 services15 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

Grinnell Regional Medical Center

Acute Care Hospitals · Grinnell, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160147

Location210 Fourth AvenueGrinnell, IA 50112 · Poweshiek County

Emergency services Birthing friendly

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

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

12 suppliers94 claims94 services$18.90 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers27 claims27 services$15.86 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers166 claims837 services$2.29 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers41 claims41 services$11.66 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers53 claims53 services$18.73 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$42.29 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers84 claims84 services$99.46 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers29 claims29 services$13.72 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers51 claims51 services$6.31 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

7 suppliers72 claims72 services$38.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers187 claims187 services$88.97 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers77 claims77 services$32.17 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers21 claims1,200 services$6.81 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

12 suppliers33 claims4,290 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers37 claims2,118 services$0.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers57 claims57 services$31.90 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

16 suppliers68 claims68 services$23.38 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 12

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

JULIA MARIE ULLAND

Nurse Practitioner

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

DR. MONICA HOFFMAN M.D.

Internal Medicine (Sleep Medicine)

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

DR. DANIEL LEE DODGE DO

Internal Medicine (Pulmonary Disease)

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

RYAN MATTHEW BRIMEYER DO

Internal Medicine (Pulmonary Disease)

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

LEHANG PHAM DO

Internal Medicine (Pulmonary Disease)

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

AMBER BINDNER APRN

Nurse Practitioner (Family)

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

BETHANY DECOSTER

Nurse Practitioner (Family)

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

DR. RYAN ROBERT MERTENS DO

Internal Medicine (Pulmonary Disease)

5950 UNIVERSITY AVE STE 131
WEST DES MOINES, IA 50266

Dallas County (515) 875-9550

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.

Which organizations bill Medicare for James Mallen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mallen reassigns Medicare benefits to 5 organizations: The Iowa Clinic PC (West Des Moines, IA), Boone County Comprehensive Specialty Care (Boone, IA), Boone County Hospital (Boone, IA), Pella Regional Health Center (Pella, IA) and St Anthony Regional Hospital And Nursing Home (Carroll, IA). 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 James Mallen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mallen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company 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, Grinnell Regional Medical Center, 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.