DR. MALLORY JO ANN PANE MD
NPI 1932894599
Internal Medicine in Dallas, TX

Q: What is Mallory Pane's NPI number?

The NPI number for Mallory Pane is 1932894599. It was assigned to this individual provider in the NPPES registry on April 10, 2023. The provider is also known as Mallory Jo Ann Thompson.

Q: What is Mallory Pane's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Pane was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 10, 2023PECOS Enrolled

3500 GASTON AVE, DALLAS, TX 75246(402) 889-1353 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, Sep 15, 2025, Apr 10, 2023 (3 updates tracked since 2023).

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About Dr. Mallory Jo Ann Pane Md NPPES

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

DR. MALLORY JO ANN PANE MD (NPI 1932894599) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (V8718) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932894599

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MALLORY JO ANN PANECredential: MD

Location Address3500 GASTON AVEDallas, TX 75246-2088

Mailing Address5223 Denton DrDallas, TX 75235-8304 · (402) 889-1353

Phone(402) 889-1353

Sole ProprietorYes

Enumeration DateApril 10, 2023

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1932894599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · V8718

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3500 GASTON AVE, Dallas, TX 75246

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Other Names 1

Former Name (1)Mallory Jo Ann Thompson

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mallory Jo Ann Pane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mallory Pane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Oncology PA

0.1 mi

Medical Oncology

3410 WORTH ST
Dallas, TX 75246

Reassigned Medicare billing, Texas enrollment
1,054 clinicians in this Medicare group

NPI 1003083445 (972) 997-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.

Pathology (Anatomic Pathology & Clinical Pathology)

3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246

Dallas County (214) 820-3772

MICHELLE CAIN AGACNP

Nurse Practitioner (Acute Care)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2050

DR. MATTHEW PAUL CLEMONS MD

Radiology (Diagnostic Radiology)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2361

ROBERT COLE FORE RN

Registered Nurse

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-0111

JAMES PIERRE D'ETIENNE MD

Emergency Medicine

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2505

DR. JO ANN F. TRAVIS M.D.

Anesthesiology

3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246

Dallas County (214) 549-4835

ASIF ZIA KHATTAK MD

Pediatrics (Neonatal-Perinatal Medicine)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-7604

FATIMA KHAN

Student in an Organized Health Care Education/Training Program

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (844) 279-3627

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 Pane's NPI number?

The NPI number for Mallory Pane is 1932894599. It was assigned to this individual provider in the NPPES registry on April 10, 2023. The provider is also known as Mallory Jo Ann Thompson.

Where is Mallory Pane located?

Mallory Pane practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (402) 889-1353.

What is Mallory Pane's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mallory Pane enrolled in Medicare?

Yes. Mallory Pane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallory Pane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Pane reassigns Medicare benefits to Texas Oncology PA (Dallas, TX). The 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 Pane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mallory Pane was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.