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BRANDON SCOTT MALONE CNP
NPI 1447876545
Nurse Practitioner in Vanceburg, KY

Active since June 24, 2020PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
246 COMMONWEALTH RD, VANCEBURG, KY 41179(606) 796-0010(606) 796-0011 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Aug 17, 2023, Jun 24, 2020 (3 updates tracked since 2020).

About Brandon Scott Malone Cnp NPPES

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

BRANDON SCOTT MALONE CNP (NPI 1447876545) is an individual nurse practitioner in Vanceburg, Kentucky, licensed in Kentucky (4005866) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1447876545
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRANDON SCOTT MALONECredential: CNP
Location Address246 COMMONWEALTH RDVanceburg, KY 41179-5003
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 365-8681 · Fax (740) 356-1256
Phone(606) 796-0010
Fax(606) 796-0011
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 24, 2020
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1447876545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 4005866
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.0026896 (OH)
246 COMMONWEALTH RD, Vanceburg, KY 41179
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Secondary Practice Location 1

Location 11805 27th StPortsmouth, OH 45662-2640 · Phone (740) 356-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brandon Scott Malone Cnp 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 ID4789090119
PECOS Enrollment IDI20210310001479, I20230915001938
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brandon Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Somc Medical Care Foundation, Inc.
25 mi
Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 34 clinicians in this Medicare group
NPI 1366686230 (740) 356-8117
Apogee Medical Group Ohio Inc
269 mi
Internal Medicine
2420 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 272 clinicians in this Medicare group
NPI 1477500999 (440) 997-6328

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 2

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 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.
42 services34 patients
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.
36 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41179 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.55
Improvement Activities40
Cost60.73

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH GRACE PORTER D.O.
Family Medicine
246 COMMONWEALTH RD
VANCEBURG, KY 41179
Lewis County (606) 796-0010
SOUTHERN OHIO MEDICAL CENTER
Home Health
246 COMMONWEALTH RD
VANCEBURG, KY 41179
Lewis County (606) 796-0056
DR. CASSANDRA C WAMPLER MD
Family Medicine
246 COMMONWEALTH RD
VANCEBURG, KY 41179
Lewis County (606) 796-0010
SOUTHERN OHIO MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
246 COMMONWEALTH RD
VANCEBURG, KY 41179
Lewis County (606) 796-0050
KATHERINE D REDMOND DO
Pediatrics
246 COMMONWEALTH RD
VANCEBURG, KY 41179
Lewis County (606) 796-0010

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 Brandon Malone's NPI number?

The NPI number for Brandon Malone is 1447876545. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Brandon Malone located?

Brandon Malone practices at 246 Commonwealth Rd, Vanceburg, KY 41179. The listed phone number is (606) 796-0010.

What is Brandon Malone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brandon Malone enrolled in Medicare?

Yes. Brandon 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 Brandon Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Malone reassigns Medicare benefits to 2 organizations: Somc Medical Care Foundation, Inc. (Portsmouth, OH) and Apogee Medical Group Ohio Inc (Ashtabula, OH). 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 Brandon Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Malone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Brandon 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 Brandon Malone affiliated with any hospitals?

According to CMS data, Brandon Malone is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Brandon Malone was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.