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SEAN ROBERT MALONEY MD
NPI 1215399647
Surgery in Shelby, NC

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
200 W GROVER ST, SHELBY, NC 28150(704) 487-8591 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 3 more (6 updates tracked since 2016).

About Sean Robert Maloney Md NPPES

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

SEAN ROBERT MALONEY MD (NPI 1215399647) is an individual surgery provider in Shelby, North Carolina, licensed in North Carolina (2022-00646) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains a secondary practice location in Forest City.

NPPES Registry Identity

NPI1215399647
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSEAN ROBERT MALONEYCredential: MD
Location Address200 W GROVER STShelby, NC 28150-3708
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 487-8591
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateJuly 15, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1215399647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2022-00646
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2022-00646 (NC)
200 W GROVER ST, Shelby, NC 28150
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Secondary Practice Location 1

Location 1181 Daniel RdForest City, NC 28043-7151 · Phone (980) 487-1850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Sean Robert Maloney Md 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 ID8426326174
PECOS Enrollment IDI20220719003245
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services14 patients
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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

DOUGLAS BRYAN YOUNG M.D.
Surgery
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591
CAITLIN COLLEEN HYATT PA
Physician Assistant
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591
KELLIE ROBINSON VANHOY PA
Physician Assistant
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591
MICHAEL LYNN BARRINGER MD
Surgery
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591
WENDY RAYFIELD ENGLAND NP
Nurse Practitioner
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591
JAMES M POTTS MD
Surgery
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591
HARRY DOUGLAS HOBSON MD
Surgery
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591
STEPHEN JONATHAN VON MD
Surgery
200 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 487-8591

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 Sean Maloney's NPI number?

The NPI number for Sean Maloney is 1215399647. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Sean Maloney located?

Sean Maloney practices at 200 W Grover St, Shelby, NC 28150. The listed phone number is (704) 487-8591.

What is Sean Maloney's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sean Maloney enrolled in Medicare?

Yes. Sean Maloney 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 Sean Maloney accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Sean Maloney 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 Sean Maloney affiliated with any hospitals?

According to CMS data, Sean Maloney is affiliated with Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Sean Maloney was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.