DR. HELEN JEAN MACMILLAN MALONE MD
NPI 1366402190
Obstetrics & Gynecology in Lexington, NC
About Dr. Helen Jean Macmillan Malone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HELEN JEAN MACMILLAN MALONE MD (NPI 1366402190) is an individual obstetrics & gynecology provider in Lexington, North Carolina, licensed in North Carolina (200000264) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 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
Dr. Helen Jean Macmillan 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 Reassignment
Medicare enrollment records show Helen Malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCLexington Memorial Hospital Inc
Acute Care Hospitals · Lexington, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Helen Malone's NPI number?
The NPI number for Helen Malone is 1366402190. It was assigned to this individual provider in the NPPES registry on March 24, 2006.
Where is Helen Malone located?
Helen Malone practices at 250 Hospital Dr, Lexington, NC 27292. The listed phone number is (336) 716-4039.
What is Helen Malone's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Helen Malone enrolled in Medicare?
Yes. Helen 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 organization bills Medicare for Helen Malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Helen Malone reassigns Medicare benefits to Wake Forest University Health Sciences (Lexington, NC). The 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 Helen Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Helen Malone accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Helen 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 Helen Malone affiliated with any hospitals?
According to CMS data, Helen Malone is affiliated with North Carolina Baptist Hospital and Lexington Memorial Hospital Inc.
When was this NPI record last updated?
The NPPES record for Helen Malone was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Helen Jean Macmillan Malone, MD · NPI 1366402190
Obstetrics & Gynecology physician in Lexington, North Carolina. Individual provider, active in the CMS NPPES registry since March 24, 2006.
## Identity
- **NPI:** 1366402190 (Entity type: Individual)
- **Enumerated:** March 24, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 200000264 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 HOSPITAL DR, Lexington, NC 27292-6792
- **Phone:** (336) 716-4039 · **Fax:** (336) 716-3202
## 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:** Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366402190) · Data from the CMS NPPES public registry.