DR. JACK DEMPSEY MALONE III DO
NPI 1629561196
Internal Medicine - Pulmonary Disease in Casper, WY
About Dr. Jack Dempsey Malone Iii Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK DEMPSEY MALONE III DO (NPI 1629561196) is an individual pulmonary disease provider in Casper, Wyoming, licensed in Wyoming (17310A) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2018).
NPPES Registry Identity
Specialties & Licenses 3
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
Dr. Jack Dempsey Malone Iii Do 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 Jack Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Casper, WY 82601
- Reassigned Medicare billing, Wyoming enrollment
- 54 clinicians in this Medicare group
Casper, WY 82601
- Reassigned Medicare billing, Wyoming enrollment
- 119 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
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sagewest Health Care
Acute Care Hospitals · Riverton, WYWyoming Medical Center
Acute Care Hospitals · Casper, WYMemorial Hospital Of Converse County
Critical Access Hospitals · Douglas, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82601 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.
CASPER, WY 82601
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 Jack Malone's NPI number?
The NPI number for Jack Malone is 1629561196. It was assigned to this individual provider in the NPPES registry on June 10, 2018.
Where is Jack Malone located?
Jack Malone practices at 1233 E 2nd St, Casper, WY 82601. The listed phone number is (307) 577-7201.
What is Jack Malone's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Jack Malone enrolled in Medicare?
Yes. Jack 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 Jack Malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Malone reassigns Medicare benefits to 2 organizations: Banner Hospital Based Physicians West LLC (Casper, WY) and Banner Health Physicians West LLC (Casper, WY). 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 Jack Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Malone accept?
Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Jack 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 Jack Malone affiliated with any hospitals?
According to CMS data, Jack Malone is affiliated with Sagewest Health Care, Wyoming Medical Center and Memorial Hospital Of Converse County.
When was this NPI record last updated?
The NPPES record for Jack Malone was last updated on August 8, 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.
# Dr. Jack Dempsey Malone III, DO · NPI 1629561196
Pulmonary Disease physician in Casper, Wyoming. Individual provider, active in the CMS NPPES registry since June 10, 2018.
## Identity
- **NPI:** 1629561196 (Entity type: Individual)
- **Enumerated:** June 10, 2018
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 17310A (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 1233 E 2ND ST, Casper, WY 82601-2926
- **Phone:** (307) 577-7201
## 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): Banner Hospital Based Physicians West LLC (NPI 1619464120, Casper, WY); Banner Health Physicians West LLC (NPI 1063778728, Casper, WY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Virginia Campus, class of 2018
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629561196) · Data from the CMS NPPES public registry.