Mallory Roberts Dacus, MD
NPI 1093248379ActiveIndividual· Neurological Surgery· Nashville, TN
Neurological Surgery (MD) in Nashville, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 2017). Enrolled in Medicare as practitioner - neurosurgery.
Overview
| NPI | 1093248379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 4, 2017 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | 35730 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurosurgery (WV) |
|---|
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Neurosurgery |
Medical group
- West Virginia University Medical CorporationMorgantown, WV · 1,980 clinicians
Hospital affiliation
- West Virginia University Hospitals, IncMorgantown, WV
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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