DR. PAUL B MALOOF MD
NPI 1316142565
Orthopaedic Surgery in Hampton, VA

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
901 ENTERPRISE PKWY, SUITE 900, HAMPTON, VA 23666(757) 827-2480(757) 282-5848 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul B Maloof Md NPPES

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

DR. PAUL B MALOOF MD (NPI 1316142565) is an individual orthopaedic surgery provider in Hampton, Virginia, licensed in Virginia (0101253896) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Rutgers New Jersey Medical School (2007).

NPPES Registry Identity

NPI1316142565
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL B MALOOFCredential: MD
Location Address901 ENTERPRISE PKWY, SUITE 900Hampton, VA 23666-6249
Mailing Address901 Enterprise Pkwy, Suite 900Hampton, VA 23666-6249 · (757) 827-2480
Fax(757) 282-5848
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2007
Enumeration DateJune 18, 2007
Last NPPES UpdateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1316142565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in VA · 0101253896
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.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 0101253896 (VA)
901 ENTERPRISE PKWY, Hampton, VA 23666

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. Paul B Maloof 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 ID345488961
PECOS Enrollment IDI20130711000764
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 14

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
435 services383 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.
297 services258 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.
293 services252 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
160 services129 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.
145 services145 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
135 services135 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23666 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 5

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

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
1 supplier26 claims26 services$39.89 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers29 claims29 services$14.83 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers16 claims16 services$7.57 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier30 claims31 services$72.11 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier99 claims99 services$228.39 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.

Dentist (General Practice)
901 ENTERPRISE PKWY, SUITE 500
HAMPTON, VA 23666
Occupational Therapist
901 ENTERPRISE PKWY, SUITE 900
HAMPTON, VA 23666
Non-Pharmacy Dispensing Site
901 ENTERPRISE PKWY, SUITE 300
HAMPTON, VA 23666
Occupational Therapist
901 ENTERPRISE PKWY
HAMPTON, VA 23666
Nurse Practitioner
901 ENTERPRISE PKWY, SUITE 300
HAMPTON, VA 23666
Physical Therapist
901 ENTERPRISE PKWY, SUITE 900
HAMPTON, VA 23666
Orthopaedic Surgery
901 ENTERPRISE PKWY, SUITE 900
HAMPTON, VA 23666
Orthopaedic Surgery
901 ENTERPRISE PKWY, SUITE 900
HAMPTON, VA 23666

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 Paul Maloof's NPI number?

The NPI number for Paul Maloof is 1316142565. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Paul Maloof located?

Paul Maloof practices at 901 Enterprise Pkwy Suite 900, Hampton, VA 23666. The listed phone number is (757) 827-2480.

What is Paul Maloof's specialty?

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

Is Paul Maloof enrolled in Medicare?

Yes. Paul Maloof 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.

Is Paul Maloof affiliated with any hospitals?

According to CMS data, Paul Maloof is affiliated with Mary Immaculate Hospital, Sentara Obici Hospital, Sentara Williamsburg Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Paul Maloof was last updated on February 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.