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MALLORY MARIE CAUTHEN PA-C
NPI 1811627581
Physician Assistant in Lancaster, SC

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment
1025 W MEETING ST STE 101, LANCASTER, SC 29720(803) 416-5453(803) 416-5456 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Jul 8, 2022 (2 updates tracked since 2022).

About Mallory Marie Cauthen Pa-c NPPES

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

MALLORY MARIE CAUTHEN PA-C (NPI 1811627581) is an individual physician assistant in Lancaster, South Carolina, licensed in South Carolina (4799) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811627581
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY MARIE CAUTHENCredential: PA-C
Location Address1025 W MEETING ST STE 101Lancaster, SC 29720-2245
Mailing Address1025 W Meeting St Ste 101Lancaster, SC 29720-2245 · (803) 416-5453 · Fax (803) 416-5456
Phone(803) 416-5453
Fax(803) 416-5456
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2022
Last NPPES UpdateMay 31, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1811627581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 4799
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.
1025 W MEETING ST STE 101, Lancaster, SC 29720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 Marie Cauthen 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 ID8729447404
PECOS Enrollment IDI20230629001151
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.
38 services36 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.
13 services13 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.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Musc Health Chester Medical Center

Acute Care Hospitals · Chester, SC
OwnershipProprietary
CMS Certification Number420019
Location1 Medical Park DriveChester, SC 29706 · Chester County
Emergency services

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420036
Location800 W Meeting StLancaster, SC 29720 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29720 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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

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

DR. PATRICK JOWDY MD
Neurological Surgery
1025 W MEETING ST STE 101
LANCASTER, SC 29720
Lancaster County (803) 416-5453

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 Cauthen's NPI number?

The NPI number for Mallory Cauthen is 1811627581. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Mallory Cauthen located?

Mallory Cauthen practices at 1025 W Meeting St Ste 101, Lancaster, SC 29720. The listed phone number is (803) 416-5453.

What is Mallory Cauthen's specialty?

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

Is Mallory Cauthen enrolled in Medicare?

Yes. Mallory Cauthen 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 Cauthen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Mallory Cauthen 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 Cauthen affiliated with any hospitals?

According to CMS data, Mallory Cauthen is affiliated with Piedmont Medical Center, Musc Health Chester Medical Center and Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Mallory Cauthen was last updated on May 31, 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.