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DARREN MALONE MD
NPI 1326263344
Ophthalmology in Huntsville, AL

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
401 MERIDIAN ST N, SUITE 200, HUNTSVILLE, AL 35801(256) 705-3937(256) 533-3213 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Darren Malone Md NPPES

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

DARREN MALONE MD (NPI 1326263344) is an individual ophthalmology provider in Huntsville, Alabama, licensed in Alabama (28463) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2003).

NPPES Registry Identity

NPI1326263344
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDARREN MALONECredential: MD
Location Address401 MERIDIAN ST N, SUITE 200Huntsville, AL 35801-4720
Mailing Address401 Meridian St N, Suite 200Huntsville, AL 35801-4720 · (256) 705-3937 · Fax (256) 533-3213
Phone(256) 705-3937
Fax(256) 533-3213
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2003
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
✔ NPI 1326263344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AL · 28463
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
401 MERIDIAN ST N, Huntsville, AL 35801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Providence Health Plan, UnitedHealthcare.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

Darren Malone 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 ID8527144203
PECOS Enrollment IDI20080320000236
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 12

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.
1,175 services1,071 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
431 services183 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.
397 services335 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
264 services254 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
257 services141 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.
207 services207 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost85.92

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
7 suppliers16 claims16 services$61.09 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 9

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

DR. TAREK OMAR PERSAUD M.D.
Ophthalmology (Retina Specialist)
401 MERIDIAN ST N, 400
HUNTSVILLE, AL 35801
Madison County (256) 539-8851
RETINA SPECIALISTS OF NORTH ALABAMA LLC
Ophthalmology
401 MERIDIAN ST N, SUITE 400
HUNTSVILLE, AL 35801
Madison County (256) 539-8851
MRS. HEATHER LYNETTE FLORES NP
Nurse Practitioner (Family)
401 MERIDIAN ST N
HUNTSVILLE, AL 35801
Madison County (256) 372-5601
NANCY EILEEN MEDEIROS M.D.
Ophthalmology (Retina Specialist)
401 MERIDIAN ST N, SUITE 400
HUNTSVILLE, AL 35801
Madison County (256) 539-8851
EYE CENTER SURGEONS & ASSOC LLC
Ophthalmology
401 MERIDIAN ST N, 200
HUNTSVILLE, AL 35801
Madison County (256) 705-3937
DR. DONALD JOSEPH DERIVAUX MD
Ophthalmology
401 MERIDIAN ST N, STE 200
HUNTSVILLE, AL 35801
Madison County (256) 705-3937
VIKRAM SAINI M.D.
Ophthalmology (Retina Specialist)
401 MERIDIAN ST N, STE 400
HUNTSVILLE, AL 35801
Madison County (256) 539-8851
JAMES BRENNEN BYRNE M.D.
Ophthalmology (Retina Specialist)
401 MERIDIAN ST N, SUITE 400
HUNTSVILLE, AL 35801
Madison County (256) 539-8851

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 Darren Malone's NPI number?

The NPI number for Darren Malone is 1326263344. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Darren Malone located?

Darren Malone practices at 401 Meridian St N Suite 200, Huntsville, AL 35801. The listed phone number is (256) 705-3937.

What is Darren Malone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Darren Malone enrolled in Medicare?

Yes. Darren 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 Darren Malone accept?

Health plans from Blue Cross and Blue Shield of Alabama, Providence Health Plan and UnitedHealthcare list Darren 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.

When was this NPI record last updated?

The NPPES record for Darren Malone was last updated on July 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.