Mallori Wisuri Hathaway, PA-C
NPI 1861019689ActiveIndividual· Physician Assistant· Scottsburg, IN
Physician Assistant (PA-C) with Forefront Dermatology SC, practicing in Scottsburg, Indiana. 907 Medicare patients in 2024, $159,589 paid; nearly all of their 568 Part D prescriptions were generic (95%). Abbvie Inc. was the largest of 11 companies reporting payments in 2025, $851.31 in all, mostly food and beverage. Lists Ascension St Vincent Salem and 1 other hospital as hospital affiliations.
Overview
| NPI | 1861019689 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 27, 2020 |
| Last updated in NPPES | Nov 12, 2025 |
| Certified by provider | Nov 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10003222A | IN |
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 - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 907 |
|---|---|
| Services billed | 10,132 across 41 procedure codes |
| Paid by Medicare | $159,589 |
Part D prescriptions in 2024
| Prescriptions (claims) | 568 · 620 30-day fills |
|---|---|
| Patients | 224 |
| Total drug cost | $39,525 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Forefront Dermatology SCSouthlake, TX · 662 clinicians
Hospital affiliations
- Ascension St Vincent SalemSalem, IN
- Norton Scott HospitalScottsburg, IN
Industry payments (Open Payments)
- 2025$851.31 · 47 payments from 11 companies
- 2024$757.89 · 39 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $205.32 | 15 |
| Janssen Biotech, Inc. | $173.23 | 10 |
| Novartis Pharmaceuticals Corporation | $133.33 | 7 |
| Ucb, Inc. | $91.56 | 3 |
| Regeneron Healthcare Solutions, Inc. | $79.04 | 3 |
What the 2025 payments were for
- Food and Beverage$751.32 · 46 payments
- Education$99.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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