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Mallory B. Hommertzheim, NP

NPI 1073154787ActiveIndividual· Nurse Practitioner, Family· Colorado Springs, CO

Nurse Practitioner, Family (NP) in Colorado Springs, Colorado, trained at University of South Alabama College of Medicine (class of 2019). In 2024 Medicare paid $1,031,050 for 128 patients, and Part D covered 5,628 of their prescriptions, 89% of them generic. Organogenesis Inc. was the largest of 2 companies reporting payments in 2025, $56.49 in all, mostly food and beverage.

Overview

NPI1073154787
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorNo
NPI issuedOct 3, 2019
Last updated in NPPESMar 24, 2026
Certified by providerMar 24, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X1257CO
Registered Nurse163W00000X113578OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (CO)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients128
Services billed1,966 across 45 procedure codes
Paid by Medicare$1,031,050

Part D prescriptions in 2024

Prescriptions (claims)5,628 · 6,540 30-day fills
Patients194
Total drug cost$413,796
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of South Alabama College of Medicine
Graduation year2019
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$56.49 · 2 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Organogenesis Inc.$32.121
Urogen Pharma, Inc.$24.371

What the 2025 payments were for

  • Food and Beverage$56.49 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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