DR. MALLORY LEBLANC PFAFFLY MD
NPI 1881446052
General Practice in Micanopy, FL

Q: What is Mallory Pfaffly's NPI number?

The NPI number for Mallory Pfaffly is 1881446052. It was assigned to this individual provider in the NPPES registry on April 2, 2024. The provider is also known as Dr. Mallory Anne Leblanc MD.

Q: What is Mallory Pfaffly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Mallory Pfaffly enrolled in Medicare?

No. Mallory Pfaffly has opted out of Medicare through July 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mallory Pfaffly was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 02, 2024Opted out of Medicare · through Jul 28, 2028

504 NE CHOLOKKA BLVD, MICANOPY, FL 32667(352) 619-9526(352) 265-9584 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2026, Apr 2, 2024 (2 updates tracked since 2024).

On this page

About Dr. Mallory Leblanc Pfaffly Md NPPES

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

DR. MALLORY LEBLANC PFAFFLY MD (NPI 1881446052) is an individual general practice provider in Micanopy, Florida, licensed in Florida (ME177427) and active in the NPI registry since April 2024. She has opted out of Medicare through July 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881446052

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. MALLORY LEBLANC PFAFFLYCredential: MD

Location Address504 NE CHOLOKKA BLVDMicanopy, FL 32667-4109

Mailing Address504 Ne Cholokka BlvdMicanopy, FL 32667-4109 · (352) 619-9526

Phone(352) 619-9526

Fax(352) 265-9584

Sole ProprietorNo

Enumeration DateApril 2, 2024

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1881446052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME177427

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

504 NE CHOLOKKA BLVD, Micanopy, FL 32667

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Other Names 1

Former Name (1)Dr. Mallory Anne Leblanc Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mallory Leblanc Pfaffly Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 28, 2026 through July 28, 2028.

Opt-Out Effective DateJuly 28, 2026

Opt-Out In Effect ThroughJuly 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

FLORIDA GOOD HEALTH PLLC

Family Medicine

504 NE CHOLOKKA BLVD
MICANOPY, FL 32667

Alachua County (352) 466-4600

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 Pfaffly's NPI number?

The NPI number for Mallory Pfaffly is 1881446052. It was assigned to this individual provider in the NPPES registry on April 2, 2024. The provider is also known as Dr. Mallory Anne Leblanc MD.

Where is Mallory Pfaffly located?

Mallory Pfaffly practices at 504 NE Cholokka Blvd, Micanopy, FL 32667. The listed phone number is (352) 619-9526.

What is Mallory Pfaffly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mallory Pfaffly enrolled in Medicare?

No. Mallory Pfaffly has opted out of Medicare through July 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mallory Pfaffly was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.