MRS. MALLORY DECESARE PA-C
NPI 1831811389
Physician Assistant in Baltimore, MD

Active since September 12, 2022PECOS EnrolledAccepts Medicare Assignment
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(410) 601-8100 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 14, 2023, Sep 12, 2022 (2 updates tracked since 2022).

About Mrs. Mallory Decesare Pa-c NPPES

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

MRS. MALLORY DECESARE PA-C (NPI 1831811389) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C09151) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831811389
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MALLORY DECESARECredential: PA-C
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (410) 601-4417 · Fax (410) 601-7138
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 12, 2022
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
NPI 1831811389 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 MD · C09151
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.

2401 W BELVEDERE AVE, Baltimore, MD 21215

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

Mrs. Mallory Decesare 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 ID9032567284
PECOS Enrollment IDI20231128002629
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
16 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 20

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

Pharmacist (Pharmacotherapy)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Pharmacist (Pharmacotherapy)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831811389, enumerated as an "individual" on September 12, 2022.

The provider is located at 2401 W BELVEDERE AVE BALTIMORE, MD 21215 and the phone number is (410) 601-8100.

Physician Assistant with taxonomy code 363A00000X.

Mallory Decesare is affiliated with: SINAI HOSPITAL OF BALTIMORE.