Doctor profile · Federal record

Dr. Mallori Hathaway, PA-C

Physician Assistant · Scottsburg, IN

  • NPI 1861019689
  • Accepts Medicare
  • MIPS 91.3 / 100 · 2023
  • 5 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 8 locations across 1 states.

NPPES Updated May 11, 2026
Primary practice
1428 N Gardner St
Scottsburg, IN 471708720
(812) 752-3512
fax (812) 752-8593
Mailing address
801 York St
Manitowoc, WI 542204630
Indiana — 7 locations
Additional location
1263 Hospital Dr Nw Ste 100
Corydon, IN 471122173
(812) 783-2054
fax (812) 733-7838
Additional location
2130 W Sycamore St Ste 200
Kokomo, IN 469016461
(765) 457-4455
fax (765) 457-0056
Additional location
244 Westwood Blvd
Columbus, IN 472015687
(812) 669-0141
fax (888) 358-7705
Additional location
303 S Walnut St
Seymour, IN 472742368
(812) 358-7705
fax (888) 254-0293
Additional location
415 S Landmark Ave
Bloomington, IN 474035003
(812) 333-7433
fax (812) 733-7435
Additional location
505 W Homer St Ste 201
Salem, IN 471671698
(812) 883-0024
fax (812) 883-8574
Additional location
911 N Shelby St
Salem, IN 471672304
(812) 883-8527
fax (812) 883-8574

Credentials & registration

NPPES · NUCC
NPI registered
June 2020 — 6 yrs on file
Profile last updated
November 12, 2025
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Indiana #10003222A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1861019689. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
13,101
Distinct HCPCS
10
Medicare allowed
$220,003
HCPCS Description Services Patients Avg allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg 8,800 36 $2
17003 Destruction of precancer skin growth, 2-14 growths 1,660 250 $5
99213 Established patient office or other outpatient visit, 20-29 minutes 788 592 $71
17000 Destruction of precancer skin growth, 1 growth 451 337 $43
17110 Destruction of skin growth, 1-14 growths 305 249 $87
11102 Biopsy of related skin growth, first growth 163 157 $71
99214 Established patient office or other outpatient visit, 30-39 minutes 158 125 $101
99212 Established patient office or other outpatient visit, 10-19 minutes 149 121 $44
99203 New patient office or other outpatient visit, 30-44 minutes 146 146 $88
17004 Destruction of precancer skin growth, 15 or more growths 75 57 $133

In context: peer comparison

Among 1 peers in this city , average services per provider: 655. This provider delivers 20× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$758
Transactions
39
Manufacturers
10
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 15 $210.28
Regeneron Healthcare Solutions, Inc. 3 $113.37
E.R. Squibb & Sons, L.L.C. 5 $82.70
Novartis Pharmaceuticals Corporation 3 $73.08
Integra LifeSciences Corporation 4 $73.03
SUN PHARMACEUTICAL INDUSTRIES INC. 1 $65.48
Biofrontera Inc. 3 $43.93
GENZYME CORPORATION 2 $42.01
Incyte Corporation 2 $40.72
PFIZER INC. 1 $13.29

By nature of payment

Food and Beverage
$684
Education
$74

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
345
Patients
137
Total drug cost
$13,038
Drug Type Claims Patients Total cost
Triamcinolone Acetonide Generic 98 50 $1,420
Ketoconazole Generic 65 33 $1,405
Clobetasol Propionate Generic 59 30 $6,299
Hydroxyzine Hcl Generic 37 12 $665
Clindamycin Phosphate Generic 28 0 $1,884
Mupirocin Generic 19 12 $211
Prednisone Generic 14 0 $110
Doxycycline Hyclate Generic 13 0 $962
Hydrocortisone Generic 12 0 $82

Frequently asked questions

Auto-generated from federal data
What is Dr. Mallori Hathaway's medical specialty?
Dr. Mallori Hathaway practices Physician Assistant in Scottsburg, IN.
Where does Dr. Mallori Hathaway practice?
Dr. Mallori Hathaway practices at 1428 N Gardner St, Scottsburg, IN 471708720. Office phone: 8127523512.
What is Dr. Mallori Hathaway's NPI?
Dr. Mallori Hathaway's National Provider Identifier (NPI) is 1861019689, issued by NPPES.
Does Dr. Mallori Hathaway accept Medicare assignment?
Yes. Dr. Mallori Hathaway accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mallori Hathaway commonly perform?
Top Medicare-reported procedures in 2023: Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS J7345); Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.