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JAMES P MALONE M.D.
NPI 1659367258
Otolaryngology in Camp Hill, PA

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
875 POPLAR CHURCH RD, STE 320, CAMP HILL, PA 17011(717) 763-7400(717) 763-4177 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James P Malone M.d. NPPES

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

JAMES P MALONE M.D. (NPI 1659367258) is an individual otolaryngology provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (MD063070L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (1995).

NPPES Registry Identity

NPI1659367258
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJAMES P MALONECredential: M.D.
Location Address875 POPLAR CHURCH RD, STE 320Camp Hill, PA 17011-2203
Mailing Address875 Poplar Church Rd, Suite 320Camp Hill, PA 17011-2203 · (717) 763-7400 · Fax (717) 763-4177
Phone(717) 763-7400
Fax(717) 763-4177
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1995
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 11, 2014
✔ NPI 1659367258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD063070L
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
875 POPLAR CHURCH RD, Camp Hill, PA 17011
Open in Google Maps ↗

Other Identifiers 2

Other1659367258Npi
Medicare PIN028715PA

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

James P Malone M.d. 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 ID1153463815
PECOS Enrollment IDI20120827000060
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 11

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.
124 services83 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
114 services88 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.
81 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
26 services20 patients
Evaluation of swallowing function image 92611
An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.
25 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers21 claims12,381 services$0.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THOMAS J YUCHA M.D.
Orthopaedic Surgery
875 POPLAR CHURCH RD
CAMP HILL, PA 17011
Cumberland County (717) 761-5530
DR. CHRISTOPHER FRENCH M.D.
Otolaryngology
875 POPLAR CHURCH RD, SUITE 320
CAMP HILL, PA 17011
Cumberland County (717) 763-7400
SPIRIT PHYSICIAN SERVICES, INC.
Internal Medicine (Cardiovascular Disease)
875 POPLAR CHURCH RD, SUITE 400
CAMP HILL, PA 17011
Cumberland County (717) 724-6450
JULIE ANN MCCAULEY P.A.-C.
Physician Assistant
875 POPLAR CHURCH RD, SUITE 400
CAMP HILL, PA 17011
Cumberland County (717) 724-6450
KERRI MARIE MATEER P.A.-C.
Physician Assistant (Medical)
875 POPLAR CHURCH RD, SUITE 400
CAMP HILL, PA 17011
Cumberland County (717) 724-6450
DR. RAJESH MUKUNDRAI DAVE M.D.
Internal Medicine (Cardiovascular Disease)
875 POPLAR CHURCH RD, SUITE 400
CAMP HILL, PA 17011
Cumberland County (717) 724-6450
MR. DONALD FRANCIS JAMES PT, DPT
Physical Therapist
875 POPLAR CHURCH RD
CAMP HILL, PA 17011
Cumberland County (717) 975-3200
SPIRIT PHYSICIAN SERVICES, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
875 POPLAR CHURCH RD, SUITE 400
CAMP HILL, PA 17011
Cumberland County (717) 975-0900

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 James Malone's NPI number?

The NPI number for James Malone is 1659367258. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is James Malone located?

James Malone practices at 875 Poplar Church Rd Ste 320, Camp Hill, PA 17011. The listed phone number is (717) 763-7400.

What is James Malone's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Malone enrolled in Medicare?

Yes. James 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.

Is James Malone affiliated with any hospitals?

According to CMS data, James Malone is affiliated with Penn State Health Holy Spirit Medical Center, Upmc Carlisle, Upmc Pinnacle Hospitals, Wellspan Chambersburg Hospital and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for James Malone was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.