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DR. MOHAMMAD UMAIR MALIK M.D.
NPI 1184910341
Family Medicine in Newport, VT

Active since June 24, 2011Opted out of Medicare · through Oct 1, 2027
90.05/100
CMS Quality Rating
186 MEDICAL VILLAGE DR, NORTH COUNTRY PRIMARY CARE, NEWPORT, VT 05855(802) 334-4121 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mohammad Umair Malik M.d. NPPES

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

DR. MOHAMMAD UMAIR MALIK M.D. (NPI 1184910341) is an individual family medicine provider in Newport, Vermont, licensed in Vermont (042.0012944) and active in the NPI registry since June 2011. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184910341
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOHAMMAD UMAIR MALIKCredential: M.D.
Location Address186 MEDICAL VILLAGE DR, NORTH COUNTRY PRIMARY CARENewport, VT 05855-8537
Mailing Address186 Medical Village DrNewport, VT 05855-8537 · (802) 334-3520
Phone(802) 334-4121
Sole ProprietorNo
Enumeration DateJune 24, 2011
Last NPPES UpdateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1184910341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 042.0012944
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
186 MEDICAL VILLAGE DR, Newport, VT 05855
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mohammad Umair Malik M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05855 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

90.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost50.17

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%4,604 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
47%217 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%53 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
13%997 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%997 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%997 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%997 patients
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers34 claims102 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims20 services$1.08 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$7.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers26 claims26 services$89.35 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers33 claims33 services$199.78 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 11

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

PATRICK HEANEY PA/C
Physician Assistant (Medical)
186 MEDICAL VILLAGE DR
NEWPORT, VT 05855
Orleans County (802) 334-3520
DR. JOHN A LIPPMANN MD
Family Medicine
186 MEDICAL VILLAGE DR
NEWPORT, VT 05855
Orleans County (802) 334-3520
PATRICK KEITH MD
Family Medicine
186 MEDICAL VILLAGE DR
NEWPORT, VT 05855
Orleans County (802) 334-3520
DR. MEGAN HARRIS BATCHELDER M.D.
Internal Medicine
186 MEDICAL VILLAGE DR, SUITE 2
NEWPORT, VT 05855
Orleans County (802) 334-3520
MS. ANDREA CARRIE VAN WOERT FNP-BC
Nurse Practitioner (Family)
186 MEDICAL VILLAGE DR
NEWPORT, VT 05855
Orleans County (802) 334-4120
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Internal Medicine
186 MEDICAL VILLAGE DR
NEWPORT, VT 05855
Orleans County (802) 334-3520
TAYLOR GALFETTI APRN
Nurse Practitioner (Family)
186 MEDICAL VILLAGE DR
NEWPORT, VT 05855
Orleans County (802) 334-3520
DR. CHARLES THOMAS LAGOY D.O.
Internal Medicine
186 MEDICAL VILLAGE DR
NEWPORT, VT 05855
Orleans County (802) 334-3520

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 Mohammad Malik's NPI number?

The NPI number for Mohammad Malik is 1184910341. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Mohammad Malik located?

Mohammad Malik practices at 186 Medical Village Dr North Country Primary Care, Newport, VT 05855. The listed phone number is (802) 334-4121.

What is Mohammad Malik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohammad Malik enrolled in Medicare?

No. Mohammad Malik has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mohammad Malik accept?

Health plans from Anthem Blue Cross and Blue Shield list Mohammad Malik 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 Mohammad Malik was last updated on April 22, 2021. 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.