Mallory A. Booth, PA-C
NPI 1073960118ActiveIndividual· Physician Assistant, Medical· Tuscaloosa, AL
Physician Assistant, Medical (PA-C) with Southeastern Pain and Rehabilitation Physicians, PC, practicing in Tuscaloosa, Alabama. 39 Medicare patients in 2024, $3,995 paid; nearly all of their 112 Part D prescriptions were generic (96%). Abbvie Inc. was the largest of 2 companies reporting payments in 2024, $83.66 in all, mostly food and beverage. Lists Dch Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1073960118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 18, 2016 |
| Last updated in NPPES | Jun 14, 2026 |
| Certified by provider | Jun 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 10676 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 107 across 14 procedure codes |
| Paid by Medicare | $3,995 |
Part D prescriptions in 2024
| Prescriptions (claims) | 112 · 141 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $2,899 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southeastern Pain and Rehabilitation Physicians, PCTuscaloosa, AL · 4 clinicians
Hospital affiliations
- Dch Regional Medical CenterTuscaloosa, AL
- Fayette Medical CenterFayette, AL
Industry payments (Open Payments)
- 2024$83.66 · 4 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $61.42 | 3 |
| Genentech USA, Inc. | $22.24 | 1 |
What the 2024 payments were for
- Food and Beverage$83.66 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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