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TIMOTHY D MALONE MD
NPI 1225008832
Psychiatry & Neurology - Psychiatry in Columbia, SC

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1415 BLANDING ST, STE 4, COLUMBIA, SC 29201(803) 434-6771(803) 434-3955 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy D Malone Md NPPES

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

TIMOTHY D MALONE MD (NPI 1225008832) is an individual psychiatry provider in Columbia, South Carolina, licensed in South Carolina (17355) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of South Carolina School Of Medicine (1993).

NPPES Registry Identity

NPI1225008832
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTIMOTHY D MALONECredential: MD
Location Address1415 BLANDING ST, STE 4Columbia, SC 29201-2922
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 434-6771
Fax(803) 434-3955
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1993
Enumeration DateJanuary 25, 2006
Last NPPES UpdateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1225008832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 17355
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSpecialistTaxonomy 174400000X · License 17355 (SC)
1415 BLANDING ST, Columbia, SC 29201
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Secondary Practice Locations 2

Location 11415 BLANDING ST, SUITE 4Columbia, SC 29201-2922 · Phone (803) 779-7500 ext. 14 · Fax (803) 779-7522
Location 211 Richland Medical Park DrColumbia, SC 29203-6863 · Phone (803) 434-4300 · Fax (803) 434-4351

Other Identifiers 2

Medicaid173555SC
Other582296052SC · Pbmc Behavioral Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Providence Health Plan, UnitedHealthcare.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

Timothy D Malone 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 ID1052454816
PECOS Enrollment IDI20101028001195
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 5

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 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.
126 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
92 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services19 patients
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.
45 services41 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29201 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

MORGAN CROWE SWEENEY FNP
Nurse Practitioner (Family)
1415 BLANDING ST
COLUMBIA, SC 29201
Richland County (803) 256-1518
CAROLINA PSYCHIATRIC CARE, LLC
Psychiatry & Neurology (Psychiatry)
1415 BLANDING ST, SUITE 4
COLUMBIA, SC 29201
Richland County (803) 779-7500
LAUREN SALEEBY BARRON MD
Psychiatry & Neurology (Psychiatry)
1415 BLANDING ST, STE 4
COLUMBIA, SC 29201
Richland County (803) 779-7500
CREEK WAY PSYCHIATRY, LLC
Psychiatry & Neurology (Psychiatry)
1415 BLANDING ST, STE 4
COLUMBIA, SC 29201
Richland County (803) 779-7500
ROBERT C SCHNACKENBERG MD
Psychiatry & Neurology (Psychiatry)
1415 BLANDING ST, SUITE 4
COLUMBIA, SC 29201
Richland County (803) 779-7500
WILLIAM H. CRIGLER, PA
Specialist
1415 BLANDING ST, SUITE 3
COLUMBIA, SC 29201
Richland County (803) 748-8608
MR. ANTHONY J MESIANO JR. LISW
Social Worker
1415 BLANDING ST, SUITE 4
COLUMBIA, SC 29201
Richland County (803) 779-7500
ANGELA D. HARPER, M.D., PA
Psychiatry & Neurology (Psychiatry)
1415 BLANDING ST, STE 4
COLUMBIA, SC 29201
Richland County (803) 779-7500

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 Timothy Malone's NPI number?

The NPI number for Timothy Malone is 1225008832. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Timothy Malone located?

Timothy Malone practices at 1415 Blanding St Ste 4, Columbia, SC 29201. The listed phone number is (803) 434-6771.

What is Timothy Malone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Timothy Malone enrolled in Medicare?

Yes. Timothy 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.

What insurance does Timothy Malone accept?

Health plans from BlueCross BlueShield of South Carolina, Providence Health Plan and UnitedHealthcare list Timothy 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 Timothy Malone was last updated on September 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.