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JAMES R MALCOLM M.D.
NPI 1740283431
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Marietta, GA

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
78.39/100
CMS Quality Rating
300 TOWER RD NE, STE 200, MARIETTA, GA 30060(770) 427-5717(770) 429-6503 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James R Malcolm M.d. NPPES

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

JAMES R MALCOLM M.D. (NPI 1740283431) is an individual orthopaedic surgery of the spine provider in Marietta, Georgia, licensed in Georgia (044781) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1740283431
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJAMES R MALCOLMCredential: M.D.
Location Address300 TOWER RD NE, STE 200Marietta, GA 30060-9403
Mailing Address300 Tower Rd Ne, Ste 200Marietta, GA 30060-9403 · (770) 427-5717 · Fax (770) 429-6503
Phone(770) 427-5717
Fax(770) 429-6503
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 27, 2005
Last NPPES UpdateDecember 5, 2013
✔ NPI 1740283431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in GA · 044781
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
300 TOWER RD NE, Marietta, GA 30060
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified20BBFRNGA
Medicare UPINF10390GA

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 R Malcolm 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 ID5092891358
PECOS Enrollment IDI20110107000898
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 9

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.
101 services60 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
54 services44 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.
42 services28 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
34 services23 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
30 services22 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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.

78.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.99
Improvement Activities40
Cost100

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%2,164 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%593 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
81%290 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%408 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
34%787 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%752 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 446 patients
Patients tobacco: 13% · 38 patients
83%446 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%787 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%787 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%787 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLC
Specialist
300 TOWER RD NE, SUITE 100
MARIETTA, GA 30060
Cobb County (770) 499-9118
ADAM COLON ATC
Specialist/Technologist (Athletic Trainer)
300 TOWER RD NE, 200
MARIETTA, GA 30060
Cobb County (770) 427-5717
DEREK AUSTIN DUBOIS NP
Nurse Practitioner (Family)
300 TOWER RD NE, SUITE 200
MARIETTA, GA 30060
Cobb County (770) 427-5717
JESSICA MAXINE FRANCIS PTA
Physical Therapy Assistant
300 TOWER RD NE, SUITE 100
MARIETTA, GA 30060
Cobb County (770) 499-9918
TRACY LYNN HECHT PTA
Physical Therapy Assistant
300 TOWER RD NE, SUITE 100
MARIETTA, GA 30060
Cobb County (770) 499-9918
JULIANNA HARTZEL PT
Physical Therapist
300 TOWER RD NE, SUITE100
MARIETTA, GA 30060
Cobb County (770) 499-9118
PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLC
Specialist
300 TOWER RD NE, SUITE 200
MARIETTA, GA 30060
Cobb County (770) 427-5717
JEREMY H CAMPBELL PT
Physical Therapist (Orthopedic)
300 TOWER RD NE, SUITE 100
MARIETTA, GA 30060
Cobb County (770) 499-9918

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 Malcolm's NPI number?

The NPI number for James Malcolm is 1740283431. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is James Malcolm located?

James Malcolm practices at 300 Tower Rd NE Ste 200, Marietta, GA 30060. The listed phone number is (770) 427-5717.

What is James Malcolm's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is James Malcolm enrolled in Medicare?

Yes. James Malcolm 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 Malcolm affiliated with any hospitals?

According to CMS data, James Malcolm is affiliated with Northside Hospital Cherokee, Wellstar Kennestone Regional Medical Center and Northside Hospital.

When was this NPI record last updated?

The NPPES record for James Malcolm was last updated on December 5, 2013. 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.