1. Home
  2. Directory
  3. Delaware
  4. Dover
  5. Orthopaedic Surgery
  6. NPI Profile

STEPHEN L MALONE M.D.
NPI 1356377204
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Dover, DE

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
260 BEISER BLVD, SUITE 101, DOVER, DE 19904(302) 734-9700(302) 734-9702 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen L Malone M.d. NPPES

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

STEPHEN L MALONE M.D. (NPI 1356377204) is an individual orthopaedic surgery of the spine provider in Dover, Delaware, licensed in Delaware (C1-0008853) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1995).

NPPES Registry Identity

NPI1356377204
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameSTEPHEN L MALONECredential: M.D.
Location Address260 BEISER BLVD, SUITE 101Dover, DE 19904-7790
Mailing Address260 Beiser Blvd, Suite 101Dover, DE 19904-7790 · (302) 734-9700 · Fax (302) 734-9702
Phone(302) 734-9700
Fax(302) 734-9702
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1995
Enumeration DateJune 23, 2006
Last NPPES UpdateOctober 11, 2013
✔ NPI 1356377204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in DE · C1-0008853
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License C1-0008853 (DE)
260 BEISER BLVD, Dover, DE 19904
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedA39519MA · Individual
OtherH51965MA · Individual
Medicaid2111951MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Stephen L Malone M.d. 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 ID5799708822
PECOS Enrollment IDI20090312000625
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 10

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.
361 services199 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.
101 services101 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.
37 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services27 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
19 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
65%37 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
51%37 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,547 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
44%740 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 233 patients
3%233 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

EILEEN SCANLON OTR L CHT
Occupational Therapist
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Kent County (302) 741-0200
LAWRENCE PICCIONI MD PA
Orthopaedic Surgery
260 BEISER BLVD, SUITE 101
DOVER, DE 19904
Kent County (302) 730-8060
ATI HOLDINGS, LLC
Durable Medical Equipment & Medical Supplies
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Kent County (302) 741-0200
JESSE MOHORIC PT
Physical Therapist
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Kent County (302) 741-0200
LAWRENCE PICCIONI MD
Orthopaedic Surgery
260 BEISER BLVD, SUITE 101
DOVER, DE 19904
Kent County (302) 730-8060
BRITNEY EDWARDS
Physical Therapy Assistant
260 BEISER BLVD, SUITE 102
DOVER, DE 19904
Kent County (302) 741-0200
SHERRON BOWIE NP
Nurse Practitioner
260 BEISER BLVD
DOVER, DE 19904
Kent County (302) 678-7438
THE ORTHOPAEDIC SPINE CENTER
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
260 BEISER BLVD, SUITE 101
DOVER, DE 19904
Kent County (401) 829-2606

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 Stephen Malone's NPI number?

The NPI number for Stephen Malone is 1356377204. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Stephen Malone located?

Stephen Malone practices at 260 Beiser Blvd Suite 101, Dover, DE 19904. The listed phone number is (302) 734-9700.

What is Stephen Malone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Stephen Malone enrolled in Medicare?

Yes. Stephen 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 Stephen Malone accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Stephen 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 Stephen Malone was last updated on October 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.