DR. MARK MALONE M.D.
NPI 1740296953
Internal Medicine - Critical Care Medicine in Geneva, IL

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
300 RANDALL RD, GENEVA, IL 60134(630) 933-4700(630) 933-4427 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Malone M.d. NPPES

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

DR. MARK MALONE M.D. (NPI 1740296953) is an individual critical care medicine provider in Geneva, Illinois, licensed in Illinois (036099264) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Washington University School Of Medicine (1987).

NPPES Registry Identity

NPI1740296953
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MARK MALONECredential: M.D.
Location Address300 RANDALL RDGeneva, IL 60134-4200
Mailing Address300 Randall RdGeneva, IL 60134-4200 · (630) 933-4700 · Fax (630) 933-4427
Fax(630) 933-4427
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1987
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 17, 2016
NPI 1740296953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in IL · 036099264
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036099264 (IL)
300 RANDALL RD, Geneva, IL 60134

Other Identifiers 11

Medicare PINK25973IL
Medicare PINK25974IL
Medicare PIN214147005IL
Other1616235IL · Bcbs Il
Medicaid036057895IL
Other1617373IL · Bcbs Of Il
OtherF400306267IL · Medicare Indiv Ptan
Medicare UPINK09162IL
Medicare PINK53605IL
Other206147IL · Medicare Grp Ptan
Medicare PINP00368409IL

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

Dr. Mark 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 ID3678569621
PECOS Enrollment IDI20040423000818
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
354 services231 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services68 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
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.

Physician Assistant
300 RANDALL RD
GENEVA, IL 60134
Emergency Medicine
300 RANDALL RD
GENEVA, IL 60134
Nurse Practitioner (Adult Health)
300 RANDALL RD, WOUND CENTER
GENEVA, IL 60134
Hospitalist
300 RANDALL RD
GENEVA, IL 60134
Physical Therapist
300 RANDALL RD
GENEVA, IL 60134
Nurse Anesthetist, Certified Registered
300 RANDALL RD
GENEVA, IL 60134
Pathology (Anatomic Pathology & Clinical Pathology)
300 RANDALL RD
GENEVA, IL 60134
Hospitalist
300 RANDALL RD
GENEVA, IL 60134

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 Malone's NPI number?

The NPI number for Mark Malone is 1740296953. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Mark Malone located?

Mark Malone practices at 300 Randall Rd, Geneva, IL 60134. The listed phone number is (630) 933-4700.

What is Mark Malone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mark Malone enrolled in Medicare?

Yes. Mark 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 Mark Malone affiliated with any hospitals?

According to CMS data, Mark Malone is affiliated with Northwestern Medicine Delnor Community Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Mark Malone was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.