DR. HELEN JEAN MACMILLAN MALONE MD
NPI 1366402190
Obstetrics & Gynecology in Lexington, NC

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
250 HOSPITAL DR, LEXINGTON, NC 27292(336) 716-4039(336) 716-3202 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Lexington Memorial Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366402190
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. HELEN JEAN MACMILLAN MALONECredential: MD
Location Address250 HOSPITAL DRLexington, NC 27292-6792
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-4039 · Fax (336) 716-3202
Fax(336) 716-3202
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1996
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
NPI 1366402190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 200000264
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 2000-00264 (NC)
250 HOSPITAL DR, Lexington, NC 27292

Secondary Practice Locations 2

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-4039 · Fax (336) 716-6937
Location 21601 Brenner AveSalisbury, NC 28144-2515 · Phone (704) 638-3398 · Fax (704) 638-3398

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

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.

PECOS PAC ID8123258126
PECOS Enrollment IDI20251014002709
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.

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340096
Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County
Emergency services

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Nurse Practitioner
250 HOSPITAL DR
LEXINGTON, NC 27292
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Emergency Medicine
250 HOSPITAL DR
LEXINGTON, NC 27292
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Physician Assistant
250 HOSPITAL DR
LEXINGTON, NC 27292
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Emergency Medicine
250 HOSPITAL DR
LEXINGTON, NC 27292

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.

What insurance does Helen Malone accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer 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 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 with the weekly NPPES data releases published by CMS.