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MALLORY MCCABE MD
NPI 1730765462
Pediatrics in Lincoln, RI

Active since March 23, 2021PECOS Enrolled
6 BLACKSTONE VALLEY PL STE 306B, LINCOLN, RI 02865(401) 334-4021(401) 334-4886 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, May 18, 2021, Apr 22, 2021 and 1 more (4 updates tracked since 2021).

About Mallory Mccabe Md NPPES

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

MALLORY MCCABE MD (NPI 1730765462) is an individual pediatrics provider in Lincoln, Rhode Island, licensed in Rhode Island (MD19949) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in North Attleboro.

NPPES Registry Identity

NPI1730765462
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMALLORY MCCABECredential: MD
Location Address6 BLACKSTONE VALLEY PL STE 306BLincoln, RI 02865-1112
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone(401) 334-4021
Fax(401) 334-4886
Sole ProprietorYes
Enumeration DateMarch 23, 2021
Last NPPES UpdateJune 24, 20244 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1730765462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD19949
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6 BLACKSTONE VALLEY PL STE 306B, Lincoln, RI 02865
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Secondary Practice Location 1

Location 1465 S Washington St Unit 4North Attleboro, MA 02760-2159 · Phone (508) 699-8444 · Fax (401) 334-4886

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Mccabe Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Mccabe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group, Inc.
6.4 mi
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island and Massachusetts enrollments
  • Also billed through NPI 1407116643 (Massachusetts)
  • 1,372 clinicians in this Medicare group
NPI 1174484216 (401) 272-1800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02865 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

AMANDA AZAR RNP
Nurse Practitioner (Family)
6 BLACKSTONE VALLEY PL STE 306B
LINCOLN, RI 02865
Providence County (401) 334-4021
ALLISON CAMERON
Nurse Practitioner (Family)
6 BLACKSTONE VALLEY PL STE 306B
LINCOLN, RI 02865
Providence County (401) 334-4021
ALEXANDRIA GERVELIS
Physician Assistant
6 BLACKSTONE VALLEY PL STE 306B
LINCOLN, RI 02865
Providence County (401) 334-4021
ANNA BAUMANN APRN
Nurse Practitioner (Pediatrics)
6 BLACKSTONE VALLEY PL STE 306B
LINCOLN, RI 02865
Providence County (401) 334-4021
VICTORIA L HORSFIELD FNP
Nurse Practitioner (Family)
6 BLACKSTONE VALLEY PL STE 306B
LINCOLN, RI 02865
Providence County (401) 334-4021
JENNIFER M. LAFLEUR APRN, FNP-BC
Nurse Practitioner (Family)
6 BLACKSTONE VALLEY PL STE 306B
LINCOLN, RI 02865
Providence County (401) 334-4021
EMILY JAIMERENA MD
Pediatrics
6 BLACKSTONE VALLEY PL STE 306B
LINCOLN, RI 02865
Providence County (401) 334-4021

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 Mallory Mccabe's NPI number?

The NPI number for Mallory Mccabe is 1730765462. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Mallory Mccabe located?

Mallory Mccabe practices at 6 Blackstone Valley Pl Ste 306B, Lincoln, RI 02865. The listed phone number is (401) 334-4021.

What is Mallory Mccabe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mallory Mccabe enrolled in Medicare?

Yes. Mallory Mccabe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallory Mccabe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Mccabe reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). The 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 Mallory Mccabe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Mccabe accept?

Health plans from Taro Health list Mallory Mccabe 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.

When was this NPI record last updated?

The NPPES record for Mallory Mccabe was last updated on June 24, 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.