DANIEL G MALONE MD
NPI 1346216371
Internal Medicine - Rheumatology in Beaver Dam, WI
About Daniel G Malone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL G MALONE MD (NPI 1346216371) is an individual rheumatology provider in Beaver Dam, Wisconsin, licensed in Wisconsin (28394) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, and maintains a secondary practice location in Columbus.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daniel G 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.
Medicare Billing Reassignments
2Medicare enrollment records show Daniel Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaver Dam, WI 53916
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1154403657 (Wisconsin)
- 115 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Columbus Community Hospital
Critical Access Hospitals · Columbus, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
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 Daniel Malone's NPI number?
The NPI number for Daniel Malone is 1346216371. It was assigned to this individual provider in the NPPES registry on February 28, 2006.
Where is Daniel Malone located?
Daniel Malone practices at 705 S University Ave Ste 150, Beaver Dam, WI 53916. The listed phone number is (920) 885-2663.
What is Daniel Malone's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Daniel Malone enrolled in Medicare?
Yes. Daniel 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.
Which organizations bill Medicare for Daniel Malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Malone reassigns Medicare benefits to 2 organizations: Prairie Ridge Health, Inc. (Beaver Dam, WI) and Mchs Hospitals, Inc. (Plover, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daniel Malone accept?
Health plans from Dean Health Plan and Quartz list Daniel 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 Daniel Malone affiliated with any hospitals?
According to CMS data, Daniel Malone is affiliated with Columbus Community Hospital.
When was this NPI record last updated?
The NPPES record for Daniel Malone was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Daniel G Malone, MD · NPI 1346216371
Rheumatology physician in Beaver Dam, Wisconsin. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1346216371 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 28394 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 705 S UNIVERSITY AVE, STE 150, Beaver Dam, WI 53916-3053
- **Phone:** (920) 885-2663 · **Fax:** (920) 885-2466
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prairie Ridge Health, Inc. (NPI 1093137416, Beaver Dam, WI); Mchs Hospitals, Inc. (NPI 1386249894, Plover, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1976
## Record status
- **NPPES last updated:** October 8, 2020
- **Other identifiers:** Other 1002676 (WI); Medicaid 30821700 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1346216371) · Data from the CMS NPPES public registry.