1. Home
  2. Directory
  3. South Carolina
  4. Clemson
  5. Family Medicine
  6. NPI Profile

THOMAS ARTHUR MALONE MD
NPI 1427018159
Family Medicine in Clemson, SC

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
735 MCMILLAN RD, CLEMSON, SC 29634(864) 656-2233(864) 656-0760 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 26, 2024, Mar 7, 2023, Dec 5, 2022 and 1 more (4 updates tracked since 2016).

About Thomas Arthur Malone Md NPPES

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

THOMAS ARTHUR MALONE MD (NPI 1427018159) is an individual family medicine provider in Clemson, South Carolina, licensed in South Carolina (10971) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical University Of South Carolina College Of Medicine (1981).

NPPES Registry Identity

NPI1427018159
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS ARTHUR MALONECredential: MD
Location Address735 MCMILLAN RDClemson, SC 29634-4054
Mailing AddressBox 344054Clemson, SC 29634-0001 · (864) 656-2233 · Fax (864) 656-0760
Phone(864) 656-2233
Fax(864) 656-0760
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1981
Enumeration DateMarch 25, 2006
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1427018159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 10971
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

735 MCMILLAN RD, Clemson, SC 29634
Open in Google Maps ↗

Secondary Practice Locations 2

Location 124 E Main StWilliamston, SC 29697-1925 · Phone (864) 847-6020 · Fax (864) 857-6007
Location 213400 Clemson BlvdSeneca, SC 29678-1455 · Phone (864) 506-8990

Other Identifiers 1

Medicaid109714SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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

Thomas Arthur 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 ID8820171382
PECOS Enrollment IDI20080207000379
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 4

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.
93 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29634 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

MRS. RONDA SIMS MCWHORTER RPH
Pharmacist
735 MCMILLAN RD, CLEMSON UNIVERSITY
CLEMSON, SC 29634
Pickens County (864) 656-3562
SALLY S FULLER M.D.
Emergency Medicine
735 MCMILLAN RD
CLEMSON, SC 29634
Pickens County (864) 656-2233
LAKE H JAMESON MD
Family Medicine
735 MCMILLAN RD
CLEMSON, SC 29634
Pickens County (864) 656-2233
DR. KEVIN MCKINLEY TABB JR.
Psychologist
735 MCMILLAN RD
CLEMSON, SC 29634
Pickens County (846) 656-0476
REDFERN HEALTH CENTER
Clinic/Center
735 MCMILLAN RD
CLEMSON, SC 29634
Pickens County (864) 656-0692
CLEMSON UNIVERSITY-REDFERN HEALTH CENTER
Clinic/Center (Student Health)
735 MCMILLAN RD, CLEMSON UNIVERSITY
CLEMSON, SC 29634
Pickens County (864) 656-2233
DR. WILLIAM VICTOR GRIFFITH MD
General Practice
735 MCMILLAN RD
CLEMSON, SC 29634
Pickens County (864) 656-0692
MRS. LISA ALAINE ARTHUR-BANNING FNP
Nurse Practitioner
735 MCMILLAN RD
CLEMSON, SC 29634
Pickens County (864) 656-0692

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 Thomas Malone's NPI number?

The NPI number for Thomas Malone is 1427018159. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Thomas Malone located?

Thomas Malone practices at 735 Mcmillan Rd, Clemson, SC 29634. The listed phone number is (864) 656-2233.

What is Thomas Malone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Malone enrolled in Medicare?

Yes. Thomas 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 Thomas Malone accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Thomas 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 Thomas Malone was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.