DR. STEPHEN CHRISTOPHER MALCOM M.D.
NPI 1225254998
Internal Medicine in Milwaukee, WI

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226(414) 955-5990(414) 955-6282 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stephen Christopher Malcom M.d. NPPES

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

DR. STEPHEN CHRISTOPHER MALCOM M.D. (NPI 1225254998) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (52347) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1225254998
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHEN CHRISTOPHER MALCOMCredential: M.D.
Location Address1155 N MAYFAIR RD, PLANK ROAD CLINICMilwaukee, WI 53226-3462
Mailing Address1155 N Mayfair Rd, Plank Road ClinicMilwaukee, WI 53226-3462 · (414) 955-5990 · Fax (414) 955-6282
Fax(414) 955-6282
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateApril 18, 2007
Last NPPES UpdateJune 15, 2012
NPI 1225254998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 52347
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.

Also ListedPediatricsTaxonomy 208000000X · License 52347 (WI)
1155 N MAYFAIR RD, Milwaukee, WI 53226

Other Identifiers 3

Medicare PIN680860918WI
Medicaid1225254998WI
Medicare PIN736012157WI

Accepted 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

Dr. Stephen Christopher Malcom 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 ID1153486063
PECOS Enrollment IDI20090210000142
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 2024 & 2026 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, 30-39 minutes 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.
92 services56 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services22 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
25 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers13 claims409 services$6.33 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
2 suppliers16 claims1,781 services$2.18 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers20 claims48 services$7.08 avg. paid by Medicare
Tracheostomy mask, each A7525
DME-Orthotic Devices · category DF000N
2 suppliers13 claims14 services$1.99 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers16 claims448 services$3.28 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers25 claims703 services$5.01 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 20

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

Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, BEHAVIORAL HEALTH CLINIC @ TOSA
MILWAUKEE, WI 53226
Physical Medicine & Rehabilitation
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Nurse Practitioner
1155 N MAYFAIR RD, BEHAVIORAL HEALTH CLINIC @ TOSA
MILWAUKEE, WI 53226
Physical Therapist
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Occupational Therapist
1155 N MAYFAIR RD, THE HAND CENTER
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225254998, enumerated as an "individual" on April 18, 2007.

The provider is located at 1155 N MAYFAIR RD PLANK ROAD CLINIC MILWAUKEE, WI 53226 and the phone number is (414) 955-5990.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to verify.

Stephen Malcom is affiliated with: FROEDTERT MEMORIAL LUTHERAN HOSPITAL.