Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mallory Fillmore , PA-C

Physician Assistant โ€ข Corvallis, OR

Active NPI 1215272505 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

3680 Nw Samaritan Dr
Corvallis, OR 973303737

Call 5417541150 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3680 Nw Samaritan Dr

Corvallis, OR 973303737

Telephone 5417541150
Organization at the Same NPPES Address or Phone
Alliance Healthcare Services Inc Facility NPI 1346342169

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: The Corvallis Clinic P C. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Medicare patients

150 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $17,925 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $12,381 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

505 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$27,491 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $146.69 across 2 records.

By nature of payment

  • Food and Beverage: $146.69 across 2 records.

Reporting-company totals

  • Janssen Pharmaceuticals, Inc: $146.69 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mallory Fillmore has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mallory Fillmore as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Corvallis and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Corvallis, OR (2024, 54 clinicians with data). Median for this group: 222. Middle half: 116 to 370.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Corvallis, OR (2024, 54 clinicians with data). Median for this group: $15,496. Middle half: $7,959 to $31,282.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $15,959. Middle half: $7,110 to $33,008.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Corvallis, OR (2024, 54 clinicians with data). Median for this group: $10,977. Middle half: $5,266 to $21,860.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $11,156. Middle half: $5,029 to $23,443.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Corvallis, OR (2024, 51 clinicians with data). Median for this group: 235. Middle half: 72 to 764.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: 340. Middle half: 96 to 1,131.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Corvallis, OR (2024, 51 clinicians with data). Median for this group: $6,061. Middle half: $342 to $137,996.

A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: $8,538. Middle half: $984 to $101,656.

75 active clinicians are listed under Physician Assistant with a practice address in Corvallis, OR (2,095 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Corvallis

38.7% of these 75 clinicians have the CMS telehealth indicator.

77.3% of these 75 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $146.69.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $82.29
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $64.40

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
78 78 $511.00 $133.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
42 35 $395.00 $103.49
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
21 19 $295.00 $71.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $366.00 $91.10

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 212 8,654 $1,397.12 48
Pantoprazole Sodium Pantoprazole Sodium 77 3,017 $722.65 17
Linzess Linaclotide 26 840 $14,434.31 โ€”
Mesalamine Mesalamine 19 788 $9,418.80 โ€”
Sucralfate Sucralfate 15 435 $210.57 โ€”
Budesonide Dr Budesonide 14 420 $808.27 โ€”
Cholestyramine Cholestyramine (With Sugar) 12 387 $378.74 โ€”
Loperamide Loperamide Hcl 11 346 $120.10 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA174128

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500695157 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20151110001301

Enrollment State Jurisdiction

OR

PECOS Control ID

2466697578

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Corvallis Clinic P C

3680 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417541282

The Corvallis Clinic P C

3680 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417541150

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1083811954

Doctor of Medicine (M.D.)

NPI 1679522692

Doctor of Medicine (M.D.)

Dr. Steven Athay , MD

Internal Medicine

NPI 1477502375

Doctor of Medicine (M.D.)

Dr. Sarah Atkinson , MD

Psychiatry & Neurology - Neurology

NPI 1871988170

Doctor of Medicine (M.D.)

NPI 1386694776

Doctor of Medicine (M.D.)

Dr. Diana Barron , MD

Family Medicine - Sleep Medicine

NPI 1588607600

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location December 30, 2024

Registered at 3680 NW SAMARITAN DR, CORVALLIS, OR 973303737 (Tel: 5417541150)

๐Ÿ“
Updated Business Mailing Address December 30, 2024

Registered at 444 NW ELKS DR, CORVALLIS, OR 973303745 (Tel: 5417541150)

๐Ÿ‘ค
Provider Name / Credentials Updated April 28, 2021

Recorded as MALLORY FILLMORE, PA-C

๐Ÿ“
Updated Practice Location August 16, 2018

Registered at 3355 RIVERBEND DR STE 500, SPRINGFIELD, OR 97477 (Tel: 5418689500)

โœ…
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address April 19, 2017

Registered at 3355 RIVERBEND DR, STE 500, SPRINGFIELD, OR 974778800 (Tel: 5418689535)

๐Ÿ“
Updated Practice Location April 19, 2017

Registered at 3405 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 600041536 (Tel: 8475779300)

๐Ÿ‘ค
Provider Name / Credentials Updated April 19, 2017

Recorded as MALLORY FILLMORE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Physician Assistant (license number reported to NPPES: OR PA174128)

โœ…
NPI Profile Active November 03, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 03, 2015

Registered at 3405 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 600041536 (Tel: 8475779300)

๐Ÿ“
Business Mailing Address (Initial Record) November 03, 2015

Registered at 981NWSPRUCE AVE, CORVALLIS, OR 973302111 (Tel: 5417580766)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 03, 2015

Recorded as MALLORY FILLMORE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2015

Physician Assistant (license number reported to NPPES: OR PA174128)

๐ŸŸข
Initial NPI Registration & Enumeration November 28, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215272505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2012
Last Update: December 30, 2024
Sole Proprietor: No

Other Physician Assistants in Corvallis

All Physician Assistants in Corvallis

Mailing Address

444 Nw Elks Dr

Corvallis, OR 973303745

Phone: 5417541150

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.