Mallory De Boom, PA
NPI 1801540646 · Physician Assistant · Germantown, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallory De Boom, PA is a Physician Assistant provider in Germantown, TN (NPI 1801540646).
Provider details
- NPI number
- 1801540646
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
262 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 75 | $6 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 72 | $128 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 67 | $9 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 32 | $56 |
| Evaluation of Psychological Test, First Hour96130 | 16 | $96 |
Typical Medicare-allowed amounts for these services range $6–$128 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Frequently asked questions
- What is Mallory De Boom's NPI number?
- Mallory De Boom's National Provider Identifier (NPI) is 1801540646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory De Boom's specialty?
- Mallory De Boom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mallory De Boom located?
- Mallory De Boom's practice location on file with NPPES is 2004 Exeter Rd, Germantown, TN 38138-3945.
- What is Mallory De Boom's phone number?
- The practice phone number listed in the NPPES registry for Mallory De Boom is (901) 664-2111.
- Does Mallory De Boom accept Medicare?
- Mallory De Boom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallory De Boom's NPI active?
- Yes — Mallory De Boom's NPI (1801540646) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.