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MRS. ANDREA G. MALONE D.O.
NPI 1316162472
Psychiatry & Neurology - Neurology in Hilliard, OH

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3663 RIDGE MILL DR, HILLIARD, OH 43026(614) 533-5500(614) 533-0103 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Andrea G. Malone D.o. NPPES

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

MRS. ANDREA G. MALONE D.O. (NPI 1316162472) is an individual neurology provider in Hilliard, Ohio, licensed in Ohio (34009912) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1316162472
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMRS. ANDREA G. MALONECredential: D.O.
Location Address3663 RIDGE MILL DRHilliard, OH 43026-7799
Mailing Address4343 All Seasons Dr Ste 250Hilliard, OH 43026-1952 · (614) 533-5500 · Fax (614) 533-0217
Phone(614) 533-5500
Fax(614) 533-0103
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2006
Enumeration DateApril 16, 2007
Last NPPES UpdateJanuary 25, 2022
✔ NPI 1316162472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OH · 34009912
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3663 RIDGE MILL DR, Hilliard, OH 43026
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Other Identifiers 1

Medicaid0052194OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Mrs. Andrea G. 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 ID143480541
PECOS Enrollment IDI20120321000921
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 9

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
7,840 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
222 services130 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.
199 services127 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
49 services16 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.
38 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 4

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

DR. SHRUTI G. KAPOOR MD
Anesthesiology (Pain Medicine)
3663 RIDGE MILL DR, SUITE 100
HILLIARD, OH 43026
Franklin County (614) 788-4440
GEORGE M RUTAN DPM
Podiatrist
3663 RIDGE MILL DR, SUITE 104
HILLIARD, OH 43026
Franklin County (614) 529-7800
KYLENE H FERNANDEZ DDS
Dentist (Pediatric Dentistry)
3663 RIDGE MILL DR, SUITE 102
HILLIARD, OH 43026
Franklin County (614) 527-1000
GEORGE M RUTAN D.P.M., F.A.C.F.A.S.
Podiatrist
3663 RIDGE MILL DR, SUITE 104
HILLIARD, OH 43026
Franklin County (614) 529-7800

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 Andrea Malone's NPI number?

The NPI number for Andrea Malone is 1316162472. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Andrea Malone located?

Andrea Malone practices at 3663 Ridge Mill Dr, Hilliard, OH 43026. The listed phone number is (614) 533-5500.

What is Andrea Malone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Andrea Malone enrolled in Medicare?

Yes. Andrea 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 Andrea Malone accept?

Health plans from CareSource and MedMutual list Andrea 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 Andrea Malone affiliated with any hospitals?

According to CMS data, Andrea Malone is affiliated with Riverside Methodist Hospital, Grant Medical Center, Ohio State University State Health System, Doctors Hospital and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Malone was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.