MALLORY BAIN
NPI 1851765127
Nurse Practitioner - Gerontology in Cincinnati, OH

Active since November 23, 2015PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN ST, CINCINNATI, OH 45219(513) 475-8787(513) 475-8828 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2018, Dec 15, 2015, Nov 23, 2015 (3 updates tracked since 2015).

About Mallory Bain NPPES

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

MALLORY BAIN (NPI 1851765127) is an individual gerontology provider in Cincinnati, Ohio, licensed in Ohio (AG1015153) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851765127
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMALLORY BAIN
Location Address234 GOODMAN STCincinnati, OH 45219-2364
Mailing AddressPo Box 636256 Central CredentiailingCincinnati, OH 45263-6256 · (513) 585-5506 · Fax (513) 585-5511
Fax(513) 475-8828
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 23, 2015
Last NPPES UpdateMarch 12, 20183 updates tracked since enumeration
NPI 1851765127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OH · AG1015153
234 GOODMAN ST, Cincinnati, OH 45219

Accepted 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 Bain 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 ID6406152214
PECOS Enrollment IDI20160620000052
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

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.

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.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers20 claims5,220 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers13 claims2,590 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers17 claims3,660 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers43 claims43 services$12.62 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 20

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

Advanced Practice Midwife
234 GOODMAN ST
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
234 GOODMAN ST
CINCINNATI, OH 45219
Emergency Medicine
234 GOODMAN ST
CINCINNATI, OH 45219
Surgery (Trauma Surgery)
234 GOODMAN ST
CINCINNATI, OH 45219
Surgery (Trauma Surgery)
234 GOODMAN ST
CINCINNATI, OH 45219
Internal Medicine (Medical Oncology)
234 GOODMAN ST, BARRETT CENTER
CINCINNATI, OH 45219
Internal Medicine
234 GOODMAN ST, BARRETT CENTER
CINCINNATI, OH 45219
Internal Medicine (Medical Oncology)
234 GOODMAN ST, BARRETT CENTER
CINCINNATI, OH 45219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851765127, enumerated as an "individual" on November 23, 2015.

The provider is located at 234 GOODMAN ST CINCINNATI, OH 45219 and the phone number is (513) 475-8787.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: CareSource, Molina Healthcare and Oscar Health. Please consult your insurance carrier or call the provider to verify.

Mallory Bain is affiliated with: UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC.