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Mallory Walsh , PA-C

Physician Assistant โ€ข Charlottesville, VA

Active NPI 1497032932 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

500 Martha Jefferson Dr
Charlottesville, VA 22911

Call 4346547580 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

500 Martha Jefferson Dr

Charlottesville, VA 22911

Telephone 4346547580
Fax 4346547582
Organization at the Same NPPES Address or Phone
Martha Jefferson Hospital Facility NPI 1346248663

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: Emergency Medicine Associates P.A., 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

2011

Medicare-allowed amount

About $4,743 in 2020

The total amount Medicare approved for these services in 2020. 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, 2020.

Paid by Medicare

About $3,788 in 2020

The part of the Medicare-allowed amount that Medicare itself paid in 2020, 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, 2020.

30-day fills

21 standardized 30-day fills in 2018

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

$84 in 2018

The total cost of these prescriptions in 2018, 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, 2018.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 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

2011

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

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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 Walsh 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 Walsh 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 Charlottesville and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Mallory Walsh are from 2020.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Mallory Walsh are from 2018.

156 active clinicians are listed under Physician Assistant with a practice address in Charlottesville, VA (4,411 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Charlottesville

14.1% of these 156 clinicians have the CMS telehealth indicator.

66.7% of these 156 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2020.

CMS Part B ยท Data Year 2020
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2019 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, 2019โ€“2020; 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
99291 Critical care, first 30-74 minutes
25 24 $449.00 $189.72

Source: CMS Part B by Provider and Service, 2020; 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 2018.

CMS Part D ยท Data Year 2018
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Metoprolol Tartrate Metoprolol Tartrate 15 630 $83.72 โ€”

Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES VA 0110004076

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: Virginia Department of Health Professions.
Look Up on State Board Site

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

I20190213003434

Enrollment State Jurisdiction

VA

PECOS Control ID

8022261205

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

Emergency Medicine Associates P.a., P.c.

500 Martha Jefferson Dr, Charlottesville, VA 229114668

Phone: 4346547147

Emergency Medicine Associates P.a., P.c.

15225 Heathcote Blvd, Haymarket, VA 201696264

Phone: 2406862300

Clinicians Sharing This Practice Address or Phone

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

33 listed
NPI 1649686429

Doctor of Medicine (M.D.)

Dr. Francis Ansa , MD

Internal Medicine - Critical Care Medicine

NPI 1255427944

Doctor of Medicine (M.D.)

Deveryn Bailey , NP

Nurse Practitioner - Family

NPI 1174094114

Nurse Practitioner

Ashleigh Bergstrom , MSN, RN, FNP-BC

Nurse Practitioner - Family

NPI 1518356260

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified)

Caroline Brand , NP

Nurse Practitioner

NPI 1457795841

Nurse Practitioner

Jennifer Broyles , MSN, AG-ACNP

Nurse Practitioner - Gerontology

NPI 1467868919

Master of Science in Nursing, Adult-Gerontology Acute Care Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
๐Ÿ“
Updated Practice Location July 03, 2018

Registered at 500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911 (Tel: 4346547580)

โœ…
NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 30, 2016

Registered at 500 MARTHA JEFFERSON DR, MB# G236, CHARLOTTESVILLE, VA 229114668 (Tel: 4346547580)

๐Ÿ“
Business Mailing Address (Initial Record) November 30, 2016

Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 30, 2016

Recorded as MALLORY WALSH, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Physician Assistant (license number reported to NPPES: VA 0110004076)

๐ŸŸข
Initial NPI Registration & Enumeration November 11, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497032932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2011
Last Update: July 03, 2018
Sole Proprietor: No

Other Physician Assistants in Charlottesville

All Physician Assistants in Charlottesville

Mailing Address

Po Box 79777

Baltimore, MD 212790777

Phone: 4346547794

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.