DR. JAMES BRIAN MALONE D.O.
NPI 1295920163
Family Medicine in Amarillo, TX

Active since September 12, 2007PECOS EnrolledAccepts Medicare Assignment
78.29/100
CMS Quality Rating
1215 S COULTER ST, SUITE 100, AMARILLO, TX 79106(806) 359-4701(806) 353-0091 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Brian Malone D.o. NPPES

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

DR. JAMES BRIAN MALONE D.O. (NPI 1295920163) is an individual family medicine provider in Amarillo, Texas, licensed in Texas (M7396) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295920163
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES BRIAN MALONECredential: D.O.
Location Address1215 S COULTER ST, SUITE 100Amarillo, TX 79106-1758
Mailing Address1215 S Coulter St, Suite 100Amarillo, TX 79106-1758 · (806) 359-4701 · Fax (806) 353-0091
Fax(806) 353-0091
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 12, 2007
Last NPPES UpdateNovember 19, 2009
NPI 1295920163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M7396
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1215 S COULTER ST, Amarillo, TX 79106

Other Identifiers 1

Medicare PIN8K9389TX

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. James Brian Malone D.o. 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 ID5597839092
PECOS Enrollment IDI20080731000793
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 35

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.
409 services231 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
396 services45 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
322 services201 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
311 services180 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.
288 services162 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
273 services187 patients

Hospital Affiliations CMS Care Compare

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

78.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.71
Improvement Activities40
Cost46.69

Referred Medical Equipment & Supplies CMS DME claims 11

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
13 suppliers35 claims78 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims17 services$1.16 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims990 services$1.59 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims47 services$2.19 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims19 services$15.71 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers23 claims24 services$8.59 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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1215 S COULTER ST, STE 400
AMARILLO, TX 79106
Internal Medicine (Nephrology)
1215 S COULTER ST, STE 404
AMARILLO, TX 79106
Internal Medicine
1215 S COULTER ST, SUITE #301
AMARILLO, TX 79106
Internal Medicine (Nephrology)
1215 S COULTER ST, STE 404
AMARILLO, TX 79106
Nurse Practitioner (Family)
1215 S COULTER ST, SUITE 301
AMARILLO, TX 79106
Nurse Practitioner (Acute Care)
1215 S COULTER ST, SUITE #301
AMARILLO, TX 79106
Surgery
1215 S COULTER ST, SUITE 201
AMARILLO, TX 79106
Registered Nurse
1215 S COULTER ST, SUITE 100
AMARILLO, TX 79106

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 James Malone's NPI number?

The NPI number for James Malone is 1295920163. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is James Malone located?

James Malone practices at 1215 S Coulter St Suite 100, Amarillo, TX 79106. The listed phone number is (806) 359-4701.

What is James Malone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Malone enrolled in Medicare?

Yes. James 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 James Malone accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list James 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 James Malone affiliated with any hospitals?

According to CMS data, James Malone is affiliated with Bsa Hospital.

When was this NPI record last updated?

The NPPES record for James Malone was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.