Doctor profile · Federal record
Dr. Mallory Koula, MD
Family Medicine Physician (CMS: Family Practice) · Diagnostic Radiology Physician · Missoula, MT
- NPI 1467987727
- Accepts Medicare
- 9 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3075 N Reserve St Ste Q
Missoula, MT 598081390
(406) 327-1850
fax (406) 327-1875 - Additional location
-
30 N 1900 E Rm 1A071
Salt Lake City, UT 841320002
(801) 581-2121 - Mailing address
-
Po Box 12
Liberty Lake, WA 990190012
Credentials & registration
- NPI registered
- April 2017 — 9 yrs on file
- Profile last updated
- September 27, 2022
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Montana #MED-PHYS-LIC-114887 · Utah #10983218-1205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467987727. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
575
Distinct HCPCS
10
Medicare allowed
$56,264
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 142 | 108 | $109 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 107 | 86 | $85 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 94 | 69 | $153 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 46 | 46 | $89 | |
G0008 |
Administration of influenza virus vaccine | 37 | 36 | $30 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 31 | 31 | $76 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $161 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 22 | 11 | $34 | |
90480 |
Admn sarscov2 vacc 1 dose | 19 | 19 | $41 | |
91320 |
Sarscv2 vac 30mcg trs-suc im | 19 | 19 | $128 |
In context: peer comparison
Among 29 peers in Missoula Family Medicine Physician, average services per provider: 77. This provider delivers 7.5× the peer median.Open Payments
Industry payments received
All-time total
$55
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Exact Sciences Corporation | 2 | $54.58 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
638
Patients
212
Total drug cost
$7,781
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 91 | 35 | $1,079 |
| Lisinopril | Generic | 74 | 25 | $540 |
| Atorvastatin Calcium | Generic | 67 | 34 | $643 |
| Gabapentin | Generic | 60 | 17 | $683 |
| Losartan Potassium | Generic | 49 | 24 | $753 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 41 | 21 | $968 |
| Omeprazole | Generic | 40 | 19 | $445 |
| Tramadol Hcl | Generic | 32 | 0 | $159 |
| Trazodone Hcl | Generic | 28 | 11 | $306 |
| Venlafaxine Hcl ER (Venlafaxine Hcl) | Brand | 28 | 0 | $479 |
Frequently asked questions
What is Dr. Mallory Koula's medical specialty?
Dr. Mallory Koula practices Family Medicine Physician in Missoula, MT.
Where does Dr. Mallory Koula practice?
Dr. Mallory Koula practices at 3075 N Reserve St Ste Q, Missoula, MT 598081390. Office phone: 4063271850.
What is Dr. Mallory Koula's NPI?
Dr. Mallory Koula's National Provider Identifier (NPI) is 1467987727, issued by NPPES.
Does Dr. Mallory Koula accept Medicare assignment?
Yes. Dr. Mallory Koula accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mallory Koula commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.