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KEVIN MALONE D.O.
NPI 1285691204
Orthopaedic Surgery in North Chelmsford, MA

Active since April 26, 2006PECOS Enrolled
10 RESEARCH PL, SUITE 203, NORTH CHELMSFORD, MA 01863(978) 275-9650(978) 275-9566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Malone D.o. NPPES

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

KEVIN MALONE D.O. (NPI 1285691204) is an individual orthopaedic surgery provider in North Chelmsford, Massachusetts, licensed in Massachusetts (214167) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (1997).

NPPES Registry Identity

NPI1285691204
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN MALONECredential: D.O.
Location Address10 RESEARCH PL, SUITE 203North Chelmsford, MA 01863-2439
Mailing AddressPo Box 2200Amherst, NH 03031-4200 · (603) 673-9411 · Fax (603) 673-9899
Phone(978) 275-9650
Fax(978) 275-9566
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1997
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285691204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MA · 214167
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

10 RESEARCH PL, North Chelmsford, MA 01863
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Other Identifiers 11

OtherAA226MA · Harvard Pilgrim
Medicare ID-Type UnspecifiedA34554MA
Medicaid0178136MA
Other2073241Cigna
Other214167MA · Tufts Health Plan
OtherJ25407MA · Blue Cross Blue Shield
Medicare UPINA68686
Other0034207MA · Neighborhood Health
Other54946MA · Fallon Comm Health Plan
Other3310128MA · Aetna Healthcare
Other97185301MA · Network Health

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

✔

Enrolled in Medicare (PECOS)

Kevin Malone D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971535980
PECOS Enrollment IDI20050909000621
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 13

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
283 services145 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.
256 services176 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.
228 services140 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
145 services100 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
94 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
71 services71 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01863 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.
99%507 patients4/55-star benchmark: 100%
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%3,985 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.
24%1,730 patients1/55-star benchmark: 99%
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…
77%1,730 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…
1%1,730 patients1/55-star benchmark: 59%
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 2

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

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier16 claims16 services$82.60 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers39 claims41 services$118.76 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 16

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

DR. AKMAL KHAN MD
Surgery
10 RESEARCH PL, SUITE 205
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 937-8055
GENERATIONS CONSULTANTS, INC.
Clinic/Center (Physical Therapy)
10 RESEARCH PL, SUITE 204
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 970-2460
KWENDE SMITH DPM
Podiatrist
10 RESEARCH PL, SUITE 206
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 275-1390
LAWRENCE P JOHNSON M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10 RESEARCH PL, SUITE 203
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 275-9650
SHIELDS IMAGING OF LOWELL GENERAL HOSPITAL LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
10 RESEARCH PL
N CHELMSFORD, MA 01863
Middlesex County (978) 275-1342
JASON A. SILVA MD PC
Orthopaedic Surgery
10 RESEARCH PL
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 275-9650
MS. JULIA AMANDA TERZIN PA
Physician Assistant
10 RESEARCH PL
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 453-6900
DR. NONNIE MARIE ESTELLA MD
Obstetrics & Gynecology
10 RESEARCH PL, SUITE 205
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 459-8300

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 Kevin Malone's NPI number?

The NPI number for Kevin Malone is 1285691204. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Kevin Malone located?

Kevin Malone practices at 10 Research Pl Suite 203, North Chelmsford, MA 01863. The listed phone number is (978) 275-9650.

What is Kevin Malone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Malone enrolled in Medicare?

Yes. Kevin Malone is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Malone accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin 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 Kevin Malone affiliated with any hospitals?

According to CMS data, Kevin Malone is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Malone was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.