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DR. PATRICK MALONE M.D.
NPI 1194710160
Internal Medicine in Memphis, TN

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
409 AYERS ST, MEMPHIS, TN 38105(901) 515-5000(901) 526-6668 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Patrick Malone M.d. NPPES

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

DR. PATRICK MALONE M.D. (NPI 1194710160) is an individual internal medicine provider in Memphis, Tennessee, licensed in Tennessee (18623) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Medical College Of Wisconsin (1986).

NPPES Registry Identity

NPI1194710160
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PATRICK MALONECredential: M.D.
Location Address409 AYERS STMemphis, TN 38105-3112
Mailing Address877 Jefferson Ave, 5th Floor Adams PavilionMemphis, TN 38103-2807 · (901) 515-5600 · Fax (901) 526-6668
Phone(901) 515-5000
Fax(901) 526-6668
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1986
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1194710160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 18623
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
409 AYERS ST, Memphis, TN 38105
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Other Identifiers 1

Medicaid3844014TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Patrick Malone 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 ID6800058017
PECOS Enrollment IDI20120504000549
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.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Regional One Physicians Inc
0.7 mi
Surgery
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 421 clinicians in this Medicare group
NPI 1093130585 (901) 545-8336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services48 patients

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims31 services$4.06 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$186.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Patrick Malone's NPI number?

The NPI number for Patrick Malone is 1194710160. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Patrick Malone located?

Patrick Malone practices at 409 Ayers St, Memphis, TN 38105. The listed phone number is (901) 515-5000.

What is Patrick Malone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick Malone enrolled in Medicare?

Yes. Patrick Malone 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.

Which organization bills Medicare for Patrick Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Malone reassigns Medicare benefits to Ut Regional One Physicians Inc (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Malone accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Patrick 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.

Is Patrick Malone affiliated with any hospitals?

According to CMS data, Patrick Malone is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Patrick Malone was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.