THOMAS ARTHUR MALONE MD
NPI 1427018159
Family Medicine in Clemson, SC
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Williamston, SC 29697
- Reassigned Medicare billing, South Carolina enrollment
- 7 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, South Carolina enrollment
- 78 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.
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.
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.
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.
CLEMSON, SC 29634
CLEMSON, SC 29634
CLEMSON, SC 29634
CLEMSON, SC 29634
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.
Which organizations bill Medicare for Thomas Malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Malone reassigns Medicare benefits to 2 organizations: Complete Healing & Wellness Center P.A. (Williamston, SC) and Bon Secours Ambulatory Services - St. Francis, LLC (Greenville, SC). Each 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 Thomas Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Malone accept?
Health plans from Ambetter Health, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Thomas Arthur Malone, MD · NPI 1427018159
Family Medicine physician in Clemson, South Carolina. Individual provider, active in the CMS NPPES registry since March 25, 2006.
## Identity
- **NPI:** 1427018159 (Entity type: Individual)
- **Enumerated:** March 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 10971 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 735 MCMILLAN RD, Clemson, SC 29634-4054
- **Phone:** (864) 656-2233 · **Fax:** (864) 656-0760
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Complete Healing & Wellness Center P.A. (NPI 1245301985, Williamston, SC); Bon Secours Ambulatory Services - St. Francis, LLC (NPI 1124495643, Greenville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 1981
## Record status
- **NPPES last updated:** June 26, 2024
- **Other identifiers:** Medicaid 109714 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1427018159) · Data from the CMS NPPES public registry.