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MALLORY QUINN DE BOOM PA
NPI 1801540646
Physician Assistant in Germantown, TN

Active since February 10, 2022PECOS EnrolledAccepts Medicare Assignment
2004 EXETER RD, GERMANTOWN, TN 38138(901) 664-2111 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Mar 29, 2023, Feb 10, 2022 (3 updates tracked since 2022).

About Mallory Quinn De Boom Pa NPPES

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

MALLORY QUINN DE BOOM PA (NPI 1801540646) is an individual physician assistant in Germantown, Tennessee, licensed in Tennessee (4931) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2021).

NPPES Registry Identity

NPI1801540646
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY QUINN DE BOOMCredential: PA
Location Address2004 EXETER RDGermantown, TN 38138-3945
Mailing Address20770 Us Highway 281 N # 108-439San Antonio, TX 78258-7655
Phone(901) 664-2111
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2021
Enumeration DateFebruary 10, 2022
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1801540646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 4931
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
2004 EXETER RD, Germantown, TN 38138
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Other Identifiers 1

Other1191302TN · Nccpa Certification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Mallory Quinn De Boom Pa 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 ID2567858368
PECOS Enrollment IDI20220404001802, I20260206001864
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
75 services72 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.
72 services71 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
67 services61 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
32 services31 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 3

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

PREOP CENTERS OF TENNESSEE, LLC
General Practice
2004 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 664-2111
PREPOSTPLUS - GERMANTOWN PLLC
General Practice
2004 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 664-2111
LELON OPAL EDWARDS JR. MD
Pediatrics
2004 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-3530

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 De Boom's NPI number?

The NPI number for Mallory De Boom is 1801540646. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Mallory De Boom located?

Mallory De Boom practices at 2004 Exeter Rd, Germantown, TN 38138. The listed phone number is (901) 664-2111.

What is Mallory De Boom's specialty?

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

Is Mallory De Boom enrolled in Medicare?

Yes. Mallory De Boom 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 Mallory De Boom accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Mallory De Boom 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 Mallory De Boom affiliated with any hospitals?

According to CMS data, Mallory De Boom is affiliated with Allina United Hospital and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Mallory De Boom was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.