Doctor profile · Federal record
Dr. Mallory Bourg
Physician Assistant · Baton Rouge, LA
- NPI 1164816831
- 11 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7777 Hennessy Blvd, Suite 701
Baton Rouge, LA 708084300
(225) 765-5864
fax (225) 765-2013 - Mailing address
-
5959 S Sherwood Forest Blvd
Baton Rouge, LA 708166038
Credentials & registration
- NPI registered
- March 2015 — 11 yrs on file
- Profile last updated
- September 29, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Louisiana #200789
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164816831. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
283
Distinct HCPCS
8
Medicare allowed
$12,212
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 105 | 11 | $0 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 51 | 50 | $71 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $90 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 27 | 26 | $102 | |
87635 |
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 23 | 23 | $50 | |
96372 |
Injection of drug or substance under skin or into muscle | 20 | 19 | $11 | |
81003 |
Automated urinalysis test | 13 | 13 | $2 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $133 |
In context: peer comparison
Among 79 peers in Baton Rouge Physician Assistant, average services per provider: 83. This provider delivers 3.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
272
Patients
253
Total drug cost
$2,244
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 78 | 77 | $156 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 61 | 61 | $545 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 34 | 27 | $872 |
| Mupirocin | Generic | 30 | 30 | $288 |
| Methylprednisolone | Generic | 20 | 20 | $161 |
| Cephalexin | Generic | 15 | 15 | $111 |
| Montelukast Sodium | Generic | 12 | 12 | $27 |
| Ciprofloxacin Hcl | Generic | 11 | 11 | $63 |
| Meloxicam | Generic | 11 | 0 | $22 |
Frequently asked questions
What is Dr. Mallory Bourg's medical specialty?
Dr. Mallory Bourg practices Physician Assistant in Baton Rouge, LA.
Where does Dr. Mallory Bourg practice?
Dr. Mallory Bourg practices at 7777 Hennessy Blvd, Baton Rouge, LA 708084300. Office phone: 2257655864.
What is Dr. Mallory Bourg's NPI?
Dr. Mallory Bourg's National Provider Identifier (NPI) is 1164816831, issued by NPPES.
What procedures does Dr. Mallory Bourg commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.