Mallory Moody Putnam, PA
NPI 1336493428ActiveIndividual· Physician Assistant, Medical· Lakeland, FL
Physician Assistant, Medical (PA) in Lakeland, Florida, licensed in FL, with an NPI issued in October 2012. 26 Medicare patients in 2024, $1,364 paid; nearly all of their 95 Part D prescriptions were generic (96%). Abbvie Inc. was the largest of 2 companies reporting payments in 2024, $28.76 in all, mostly food and beverage.
Overview
| NPI | 1336493428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Oct 29, 2012 |
| Last updated in NPPES | Jan 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA9106745 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 26 across 11 procedure codes |
| Paid by Medicare | $1,364 |
Part D prescriptions in 2024
| Prescriptions (claims) | 95 · 96 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $1,635 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
- 2024$28.76 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $14.73 | 1 |
| Abbott Laboratories | $14.03 | 1 |
What the 2024 payments were for
- Food and Beverage$28.76 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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