DR. SUSAN REGINA MALLERY DDS
NPI 1083688865
Dentist - Oral and Maxillofacial Pathology in Columbus, OH
NPI Status: Active since February 16, 2006
Contact Information
305 W 12TH AVE
COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS, OH
ZIP 43210
Phone: (614) 292-5892
Fax: (614) 292-9384
- Individual
- Female
- Dentist
- Oral and Maxillofacial Pathology
- Accepts Insurance
- PECOS Enrolled
About SUSAN MALLERY
This page provides the complete NPI Profile along with additional information for Susan Mallery, a provider established in Columbus, Ohio with a medical specialization in Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1083688865 assigned on February 2006. The practitioner's primary taxonomy code is 1223P0106X with license number 30016966 (OH). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1083688865
- Provider Name
- DR. SUSAN REGINA MALLERY DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 305 W 12TH AVE COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY COLUMBUS, OH 43210
- Location Phone
- (614) 292-5892
- Location Fax
- (614) 292-9384
- Mailing Address
- 305 W 12TH AVE COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY COLUMBUS, OH 43210
- Mailing Phone
- (614) 292-5892
- Mailing Fax
- (614) 292-9384
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-16-2006
- Last Update Date
- 03-08-2012
- Code Navigator
A dentist like Susan Mallery is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Pathology
- Taxonomy Code
- 1223P0106X
- Type
- Dental Providers
- License No.
- 30016966
- License State
- OH
- Taxonomy Description
- The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Susan Mallery is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Pathology examination of tissue using a microscope, intermediate complexity
Special stained specimen slides to identify organisms including interpretation and report
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 178 times for 153 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 96 times for 71 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43210 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. SUSAN REGINA MALLERY DDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 6 | 8 | 8 | 8 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 12 | 8 | 16 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 2 + 8 + 1 + 6 + 8 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1083688865 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871526566 | DR. KATHERINE WINTER LETA VIG BDS MS Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-5972 |
| 1962512715 | DAWNE ELAINE STEFANIK DDS Individual | Dentist (General Practice) | 305 W 12TH AVE 3039-F COLUMBUS, OH 43210 (614) 688-4762 |
| 1326120411 | DR. ROBERT ROLAND SEGHI DDS, MS Individual | Dentist (Prosthodontics) | 305 W 12TH AVE DENTAL FACULTY PRACTICE ASSOCIATION INC. COLUMBUS, OH 43210 (614) 292-1472 |
| 1770665820 | DR. STEPHEN FREDERICK ROSENSTIEL BDS, MSD Individual | Dentist (Prosthodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-0941 |
| 1194808501 | DR. CANISE YVETTE BEAN DMD Individual | Dentist (General Practice) | 305 W 12TH AVE ROOM 3157 COLUMBUS, OH 43210 (614) 688-5567 |
| 1720161128 | DR. NANCY L CLELLAND DMD Individual | Dentist (Prosthodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-1472 |
| 1083799787 | DR. DEBORAH ANN MENDEL DDS Individual | Dentist | 305 W 12TH AVE DENTAL FACULTY PRACTICE COLUMBUS, OH 43210 (614) 292-7604 |
| 1467537910 | DR. JOHN M NUSSTEIN DDS Individual | Dentist (Endodontics) | 305 W 12TH AVE DENTAL FACULTY PRACTICE ASSOCIATION INC.-STANLEY G. VER COLUMBUS, OH 43210 (614) 292-1472 |
| 1194809897 | JOHN DOUGLAS WALTERS D.D.S. Individual | Dentist (Periodontics) | 305 W 12TH AVE DENTAL FACULTY PRACTICE ASSOCIATION INC COLUMBUS, OH 43210 (614) 292-1472 |
| 1033283403 | DR. AMIR HOUMAN KHATAMI D.D.S. Individual | Dentist (Prosthodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-1472 |
| 1538237664 | DR. ANGELO J MARIOTTI DDS, PHD Individual | Dentist (Periodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-1472 |
| 1487714333 | DR. ALEJANDRO PEREGRINA D.D.S., M.S.D. Individual | Dentist (Prosthodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 247-8389 |
| 1952464109 | DR. JOHN R. KALMAR Individual | Dentist (Oral and Maxillofacial Pathology) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-1472 |
| 1538225834 | DR. DALE STANLEY SHARPLES II DDS Individual | Dentist (General Practice) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-1472 |
| 1235286238 | DR. SHEREEN SHOUKRY AZER B.D.S., M.SC., M.S. Individual | Dentist (Prosthodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 546-9468 |
| 1750438685 | DR. MARIA PAPPAS DMD, MS Individual | Dentist (Prosthodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 247-2554 |
| 1396894150 | DR. BINNAZ LEBLEBICIOGLU DDS, MS, PHD Individual | Dentist (Periodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-1472 |
| 1457400079 | DR. ROBERT G. RASHID DDS, MAS Individual | Dentist (General Practice) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-3071 |
| 1457401200 | DR. DAVID LEE HALL DDS Individual | Dentist (General Practice) | 305 W 12TH AVE #186 COLUMBUS, OH 43210 (614) 292-3592 |
| 1144371907 | DR. LISA ANN KNOBLOCH D.D.S. Individual | Dentist (Prosthodontics) | 305 W 12TH AVE COLUMBUS, OH 43210 (614) 292-1472 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083688865, enumerated in the NPI registry as an "individual" on February 16, 2006
The provider is located at 305 W 12th Ave College Of Dentistry Ohio State University Columbus, Oh 43210 and the phone number is (614) 292-5892
The provider's speciality is Dentist with taxonomy code 1223P0106X with a focus in Oral and Maxillofacial Pathology
The provider might be accepting Accepts: CareSource and Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity and Special stained specimen slides to identify organisms including interpretation and report.
This NPI record was last updated on February 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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