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MICHAEL ROBERT MALONE DO
NPI 1073587101
Orthopaedic Surgery in Corsicana, TX

Active since February 15, 2006PECOS Enrolled
86.37/100
CMS Quality Rating
400 HOSPITAL DR, STE 201, CORSICANA, TX 75110(903) 641-4870(903) 641-4877 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Robert Malone Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ROBERT MALONE DO (NPI 1073587101) is an individual orthopaedic surgery provider in Corsicana, Texas, licensed in Texas (L7028) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073587101
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL ROBERT MALONECredential: DO
Location Address400 HOSPITAL DR, STE 201Corsicana, TX 75110-2489
Mailing Address400 Hospital Dr Ste 111Corsicana, TX 75110-2489 · (903) 641-4895 · Fax (903) 641-4894
Phone(903) 641-4870
Fax(903) 641-4877
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1073587101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · L7028
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
400 HOSPITAL DR, Corsicana, TX 75110
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Other Identifiers 3

Medicaid160314403TX
Other8W4545TX · Blue Cross
Medicaid160314402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Robert Malone Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier16 claims16 services$61.08 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier21 claims21 services$23.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEEPAK C PATEL MD
Internal Medicine
400 HOSPITAL DR, STE. 101
CORSICANA, TX 75110
Navarro County (903) 641-3800
DELORES GWENDOLYN COOK FNP
Nurse Practitioner (Family)
400 HOSPITAL DR, SUITE #106
CORSICANA, TX 75110
Navarro County (903) 872-2923
SHAHZAD M SYED M.D
Internal Medicine (Gastroenterology)
400 HOSPITAL DR, STE 207
CORSICANA, TX 75110
Navarro County (903) 654-4880
REGIONAL EMPLOYEE ASSISTANCE PROGRAM
Durable Medical Equipment & Medical Supplies
400 HOSPITAL DR, SUITE 201
CORSICANA, TX 75110
Navarro County (903) 872-0003
TARA BZDOK RD, CSR, LD
Dietitian, Registered
400 HOSPITAL DR, STE 106
CORSICANA, TX 75110
Navarro County (512) 809-3689
ERON D CROUCH MD
Internal Medicine (Cardiovascular Disease)
400 HOSPITAL DR, STE 101
CORSICANA, TX 75110
Navarro County (903) 641-3800
DR. NOHA MATAOUI MD
Family Medicine
400 HOSPITAL DR, SUITE 104
CORSICANA, TX 75110
Navarro County (903) 641-3848
TOULA M GLASS ANP
Nurse Practitioner
400 HOSPITAL DR, STE 116
CORSICANA, TX 75110
Navarro County (903) 677-5864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Malone's NPI number?

The NPI number for Michael Malone is 1073587101. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Michael Malone located?

Michael Malone practices at 400 Hospital Dr Ste 201, Corsicana, TX 75110. The listed phone number is (903) 641-4870.

What is Michael Malone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Malone enrolled in Medicare?

Yes. Michael Malone is registered in the Medicare PECOS enrollment system.

What insurance does Michael Malone accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Malone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Malone was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.