DR. SHAWN P MALLADY O.D.
NPI 1891772331
Optometrist in Danville, IL

Q: What is Shawn Mallady's NPI number?

The NPI number for Shawn Mallady is 1891772331. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Q: What is Shawn Mallady's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Mallady was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment

84.2/100

CMS Quality Rating

1104 N VERMILION ST, DANVILLE, IL 61832(217) 442-2631(217) 442-0119 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Shawn P Mallady O.d. NPPES

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

DR. SHAWN P MALLADY O.D. (NPI 1891772331) is an individual optometrist in Danville, Illinois, licensed in Illinois (046-008619) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1993).

NPPES Registry Identity

NPI1891772331

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SHAWN P MALLADYCredential: O.D.

Location Address1104 N VERMILION STDanville, IL 61832-3094

Mailing Address1104 N Vermilion StDanville, IL 61832-3094 · (217) 442-2631 · Fax (217) 442-0119

Phone(217) 442-2631

Fax(217) 442-0119

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1993

Enumeration DateDecember 27, 2005

Last NPPES UpdateOctober 9, 2014

✔ NPI 1891772331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046-008619

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1104 N VERMILION ST, Danville, IL 61832

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Other Identifiers 2

Medicare UPINU43177IL

Medicare ID-Type UnspecifiedL27335IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Dr. Shawn P Mallady O.d. 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 ID4688654023

PECOS Enrollment IDI20090421000363

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

25 services25 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.

20 services17 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

16 services16 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

14 services14 patients

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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61832 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

84.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.41

Improvement Activities

Other Providers at the Same Location NPPES 11

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

JAMES B KELLEY O.D.

Optometrist

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

JOHN EVERD BROTHERS O.D.

Optometrist

1104 N VERMILION ST, CHITTICK FAMILY EYE CARE
DANVILLE, IL 61832

Vermilion County (217) 442-2631

DR. PUNEET SINGH BRAICH M.D., M.P.H.

Ophthalmology

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

DR. KELLY ANN KISER MD

Ophthalmology

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

SAMUEL HIGGINS BARRY MD

Ophthalmology

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

CHITTICK FAMILY EYE CARE LTD

Ophthalmology

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 398-2020

MAXWELL PROSSER OD

Optometrist

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 398-2020

KATHERINE LORETTA MURPHY DUNNE O.D.

Optometrist

1104 N VERMILION ST
DANVILLE, IL 61832

Vermilion County (217) 442-2631

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 Shawn Mallady's NPI number?

The NPI number for Shawn Mallady is 1891772331. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Shawn Mallady located?

Shawn Mallady practices at 1104 N Vermilion St, Danville, IL 61832. The listed phone number is (217) 442-2631.

What is Shawn Mallady's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shawn Mallady enrolled in Medicare?

Yes. Shawn Mallady 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 Shawn Mallady accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Shawn Mallady 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.

When was this NPI record last updated?

The NPPES record for Shawn Mallady was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.