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MALLORY DEHART
NPI 1932777216
Nurse Practitioner - Family in Lexington, KY

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1960 JUSTICE DRIVE SUITE 120, LEXINGTON, KY 40509(859) 756-6837 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallory Dehart NPPES

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

MALLORY DEHART (NPI 1932777216) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3015057) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932777216
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY DEHART
Location Address1960 JUSTICE DRIVE SUITE 120Lexington, KY 40509
Mailing Address409 Marquis CtWinchester, KY 40391-8729
Phone(859) 756-6837
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 14, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1932777216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3015057
1960 JUSTICE DRIVE SUITE 120, Lexington, KY 40509
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Dehart 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 ID2062813751
PECOS Enrollment IDI20210701002660
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mallory Dehart reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Urgent Care PLLC
5.5 mi
Urgent Care
1701 NICHOLASVILLE RD, STE 100
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 72 clinicians in this Medicare group
NPI 1225374887 (859) 466-8956
Baptist Health Medical Group Inc
5.7 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1255805586 (Kentucky)
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390
Man O War Urgent Care LLC
7.2 mi
Urgent Care
4097 NICHOLS PARK DR STE 108
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 66 clinicians in this Medicare group
NPI 1083101240 (859) 523-5310
Georgetown Urgent Care PLLC
16 mi
Urgent Care
111 OSBOURNE WAY, SUITE 101
Georgetown, KY 40324
  • Reassigned Medicare billing, Kentucky enrollment
  • 66 clinicians in this Medicare group
NPI 1780838847 (859) 466-8956
Berea Urgent Care LLC
31 mi
Nurse Practitioner
234 BRENWOOD ST
Berea, KY 40403
  • Reassigned Medicare billing, Kentucky enrollment
  • 69 clinicians in this Medicare group
NPI 1912054792 (859) 985-0302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
51 services37 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
49 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$91.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Dehart's NPI number?

The NPI number for Mallory Dehart is 1932777216. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Mallory Dehart located?

Mallory Dehart practices at 1960 Justice Drive Suite 120, Lexington, KY 40509. The listed phone number is (859) 756-6837.

What is Mallory Dehart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallory Dehart enrolled in Medicare?

Yes. Mallory Dehart 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.

Which organizations bill Medicare for Mallory Dehart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Dehart reassigns Medicare benefits to 5 organizations: Lexington Urgent Care PLLC (Lexington, KY), Baptist Health Medical Group Inc (Lexington, KY), Man O War Urgent Care LLC (Lexington, KY), Georgetown Urgent Care PLLC (Georgetown, KY) and Berea Urgent Care LLC (Berea, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Dehart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Dehart accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Mallory Dehart 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 Dehart affiliated with any hospitals?

According to CMS data, Mallory Dehart is affiliated with Baptist Health Richmond, Baptist Health Corbin, Baptist Health Lexington and Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Dehart was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.