MARK LELAND MALTON MD
NPI 1629068283
Ophthalmology in Charlotte, NC

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
135 S SHARON AMITY RD, SUITE 100, CHARLOTTE, NC 28211(704) 365-0555(704) 367-8122 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2023, Jan 6, 2020, Mar 12, 2019 (3 updates tracked since 2019).

About Mark Leland Malton Md NPPES

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

MARK LELAND MALTON MD (NPI 1629068283) is an individual ophthalmology provider in Charlotte, North Carolina, licensed in North Carolina (31869) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1982).

NPPES Registry Identity

NPI1629068283
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK LELAND MALTONCredential: MD
Location Address135 S SHARON AMITY RD, SUITE 100Charlotte, NC 28211-2842
Mailing AddressPo Box 60160Charlotte, NC 28260-0160 · (704) 365-0555 · Fax (704) 367-8122
Fax(704) 367-8122
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1982
Enumeration DateOctober 25, 2005
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
NPI 1629068283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 31869
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License 31869 (NC)
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 31869 (NC)
135 S SHARON AMITY RD, Charlotte, NC 28211

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

Mark Leland Malton 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 ID9032254735
PECOS Enrollment IDI20100305000435
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 12

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.
265 services249 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.
122 services101 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
67 services66 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
58 services57 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
40 services40 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
38 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Optometrist
135 S SHARON AMITY RD, SUITE 100
CHARLOTTE, NC 28211
Ophthalmology
135 S SHARON AMITY RD, SUITE 100
CHARLOTTE, NC 28211
Ophthalmology
135 S SHARON AMITY RD, SUITE 100
CHARLOTTE, NC 28211
Ophthalmology
135 S SHARON AMITY RD, SUITE 100
CHARLOTTE, NC 28211
Dentist (General Practice)
135 S SHARON AMITY RD, SUITE 204
CHARLOTTE, NC 28211
Ophthalmology
135 S SHARON AMITY RD, SUITE 100
CHARLOTTE, NC 28211
Ophthalmology
135 S SHARON AMITY RD, SUITE 100
CHARLOTTE, NC 28211
Dentist (General Practice)
135 S SHARON AMITY RD, SUITE 204
CHARLOTTE, NC 28211

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 Mark Malton's NPI number?

The NPI number for Mark Malton is 1629068283. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Mark Malton located?

Mark Malton practices at 135 S Sharon Amity Rd Suite 100, Charlotte, NC 28211. The listed phone number is (704) 365-0555.

What is Mark Malton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Malton enrolled in Medicare?

Yes. Mark Malton 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 Mark Malton accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Molina Healthcare and 2 other insurers list Mark Malton 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 Mark Malton was last updated on February 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.