DANIEL G MALONE MD
NPI 1346216371
Internal Medicine - Rheumatology in Beaver Dam, WI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
705 S UNIVERSITY AVE, STE 150, BEAVER DAM, WI 53916(920) 885-2663(920) 885-2466 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1346216371
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDANIEL G MALONECredential: MD
Location Address705 S UNIVERSITY AVE, STE 150Beaver Dam, WI 53916-3053
Mailing Address1515 Park AveColumbus, WI 53925-1618 · (920) 623-2200
Fax(920) 885-2466
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1976
Enumeration DateFebruary 28, 2006
Last NPPES UpdateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
NPI 1346216371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in WI · 28394
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

705 S UNIVERSITY AVE, Beaver Dam, WI 53916

Secondary Practice Location 1

Location 11515 Park AveColumbus, WI 53925-1618 · Phone (920) 623-2200

Other Identifiers 2

Other1002676WI · Physicians Plus
Medicaid30821700WI

Accepted 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

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.

PECOS PAC ID9931235652
PECOS Enrollment IDI20100331001060
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.

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, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician 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.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology
705 S UNIVERSITY AVE, SUITE 100
BEAVER DAM, WI 53916
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, STE 500
BEAVER DAM, WI 53916
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, SUITE 200
BEAVER DAM, WI 53916
Internal Medicine
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Pharmacy (Community/Retail Pharmacy)
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Specialist
705 S UNIVERSITY AVE, SUITE 150
BEAVER DAM, WI 53916
Pharmacist
705 S UNIVERSITY AVE, SUITE 180
BEAVER DAM, WI 53916
Psychiatry & Neurology (Neurology)
705 S UNIVERSITY AVE, SUITE 380
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.

What insurance does Daniel Malone accept?

Health plans from Anthem Blue Cross and Blue Shield 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 with the weekly NPPES data releases published by CMS.