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MALCOLM S. SCHONGALLA M.D.
NPI 1093153793
Emergency Medicine in Claremont, NH

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
89.75/100
CMS Quality Rating
243 ELM ST, CLAREMONT, NH 03743(603) 542-1878 Get Directions Write a Review

NPPES record last updated: March 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2020, Sep 18, 2018 (2 updates tracked since 2018).

About Malcolm S. Schongalla M.d. NPPES

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

MALCOLM S. SCHONGALLA M.D. (NPI 1093153793) is an individual emergency medicine provider in Claremont, New Hampshire, licensed in New Hampshire (20104) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with New London Hospital, and maintains a secondary practice location in Midvale.

NPPES Registry Identity

NPI1093153793
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMALCOLM S. SCHONGALLACredential: M.D.
Location Address243 ELM STClaremont, NH 03743-4921
Mailing Address243 Elm StClaremont, NH 03743-4921 · (603) 542-1878
Phone(603) 542-1878
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateMarch 21, 20202 updates tracked since enumeration
NPPES CertifiedMarch 21, 2020
✔ NPI 1093153793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NH · 20104✔ Licensed in UT · 9873542-1205✔ Licensed in MA · 256057
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
243 ELM ST, Claremont, NH 03743
Open in Google Maps ↗

Secondary Practice Location 1

Location 165 E 6850 SMidvale, UT 84047 · Phone (801) 568-6700 · Fax (801) 568-6702

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Malcolm S. Schongalla M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466873211
PECOS Enrollment IDI20200602002880
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03743 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
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.

89.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.37
Promoting Interoperability100
Improvement Activities40

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.

VALLEY REGIONAL HOSPITAL
Social Worker (Clinical)
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-7771
DR. LAWRENCE ALBERT MAZUR MD
Psychiatry & Neurology (Psychiatry)
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-7771
DR. ERNEST JAMES HANOWELL DO
Surgery
243 ELM ST, VALLEY REGIONAL SURGICAL ASSOCIATES
CLAREMONT, NH 03743
Sullivan County (603) 542-6777
MRS. DEBORAH WEATHERBY LCSW
Social Worker (Clinical)
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-1877
STEPHANIE SANCA PHARMD
Pharmacist
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-1805
CAROLINE WARD OTR/L
Occupational Therapist
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-1878
MATTHEW R SULLIVAN M.D.
Internal Medicine (Hematology & Oncology)
243 ELM ST, VRH-KANE CENTER, HEMATOLOGY/ONCOLOGY
CLAREMONT, NH 03743
Sullivan County (603) 542-6777
CHARLES M SAWYER MD
Family Medicine
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-7771

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 Malcolm Schongalla's NPI number?

The NPI number for Malcolm Schongalla is 1093153793. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Malcolm Schongalla located?

Malcolm Schongalla practices at 243 Elm St, Claremont, NH 03743. The listed phone number is (603) 542-1878.

What is Malcolm Schongalla's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Malcolm Schongalla enrolled in Medicare?

Yes. Malcolm Schongalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Malcolm Schongalla accept?

Health plans from WellSense Health Plan list Malcolm Schongalla 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.

Is Malcolm Schongalla affiliated with any hospitals?

According to CMS data, Malcolm Schongalla is affiliated with New London Hospital.

When was this NPI record last updated?

The NPPES record for Malcolm Schongalla was last updated on March 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.