DR. ANDREA MARIE MALON M.D.
NPI 1306825609
Surgery - Surgical Oncology in Middletown, CT

Q: What is Andrea Malon's NPI number?

The NPI number for Andrea Malon is 1306825609. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Andrea Malon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Malon was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment

97.27/100

CMS Quality Rating

540 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457(860) 358-2850(860) 358-8698 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2024, Mar 3, 2021, Jan 25, 2017 (3 updates tracked since 2017).

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About Dr. Andrea Marie Malon M.d. NPPES

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

DR. ANDREA MARIE MALON M.D. (NPI 1306825609) is an individual surgical oncology provider in Middletown, Connecticut, licensed in Connecticut (033184) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1987).

NPPES Registry Identity

NPI1306825609

Entity TypeIndividualFemale

Primary Taxonomy2086X0206X

Provider Legal NameDR. ANDREA MARIE MALONCredential: M.D.

Location Address540 SAYBROOK RD STE 100Middletown, CT 06457-4760

Mailing Address862 Arbutus StMiddletown, CT 06457-5177 · (860) 346-2608

Phone(860) 358-2850

Fax(860) 358-8698

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1987

Enumeration DateJanuary 13, 2006

Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1306825609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in CT · 033184

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 21347 (CT)

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 033184 (CT)

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 033184 (CT)

540 SAYBROOK RD STE 100, Middletown, CT 06457

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Other Identifiers 1

Medicaid001331842CT

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. Andrea Marie Malon 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 ID5597826487

PECOS Enrollment IDI20101013000494

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.

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.

206 services176 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

25 services14 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

14 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

97.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.68

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

6 suppliers13 claims46 services$29.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

DR. KERTRISA R MCWHITE MD

Surgery (Surgical Oncology)