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DR. TODD CHRISTOPHER MALVEY D.O.
NPI 1811093198
Family Medicine - Sports Medicine in Northborough, MA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
1 E MAIN ST, SUITE 208, NORTHBOROUGH, MA 01532(508) 393-0183(508) 393-2310 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Todd Christopher Malvey D.o. NPPES

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

DR. TODD CHRISTOPHER MALVEY D.O. (NPI 1811093198) is an individual sports medicine provider in Northborough, Massachusetts, licensed in South Carolina (836) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2000).

NPPES Registry Identity

NPI1811093198
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. TODD CHRISTOPHER MALVEYCredential: D.O.
Location Address1 E MAIN ST, SUITE 208Northborough, MA 01532-1662
Mailing Address1 E Main St, Suite 208Northborough, MA 01532-1662 · (508) 393-0183 · Fax (508) 393-2310
Phone(508) 393-0183
Fax(508) 393-2310
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2000
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 12, 2011
✔ NPI 1811093198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in SC · 836
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1 E MAIN ST, Northborough, MA 01532
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Other Identifiers 1

Medicare UPINVAD 000SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Todd Christopher Malvey D.o. 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 ID9335218338
PECOS Enrollment IDI20080516000355
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 5

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.
357 services152 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 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.
82 services69 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01532 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims40 services$6.11 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier14 claims27 services$1.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims22 services$3.23 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims3,549 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$195.00 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers17 claims17 services$22.95 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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILIP B HOWELLS D.D.S.
Dentist (General Practice)
1 E MAIN ST, SUITE 103
NORTHBOROUGH, MA 01532
Worcester County (508) 393-6160
NORTHBOROUGH DENTAL ASSOCIATES, P.C.
Dentist (General Practice)
1 E MAIN ST, SUITE 103
NORTHBOROUGH, MA 01532
Worcester County (508) 393-6160
OMG SMILES PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1 E MAIN ST
NORTHBOROUGH, MA 01532
Worcester County (508) 827-8887
JOHN P OUANO D.M.D
Dentist (Oral and Maxillofacial Pathology)
1 E MAIN ST
NORTHBOROUGH, MA 01532
Worcester County (508) 393-1223
NORTHBORO ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1 E MAIN ST
NORTHBOROUGH, MA 01532
Worcester County (508) 393-5400
DR. SANDRA CROWLEY-LE DMD
Dentist (General Practice)
1 E MAIN ST, SUITE 103
NORTHBOROUGH, MA 01532
Worcester County (508) 393-6160
AMMAR HUSSAIN PABANEY DMD
Dentist
1 E MAIN ST
NORTHBOROUGH, MA 01532
Worcester County (508) 374-9350
KIEUN KIM DDS
Dentist
1 E MAIN ST
NORTHBOROUGH, MA 01532
Worcester County (508) 206-9676

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 Todd Malvey's NPI number?

The NPI number for Todd Malvey is 1811093198. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Todd Malvey located?

Todd Malvey practices at 1 E Main St Suite 208, Northborough, MA 01532. The listed phone number is (508) 393-0183.

What is Todd Malvey's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Todd Malvey enrolled in Medicare?

Yes. Todd Malvey 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 Todd Malvey accept?

Health plans from Anthem Blue Cross and Blue Shield list Todd Malvey 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 Todd Malvey affiliated with any hospitals?

According to CMS data, Todd Malvey is affiliated with Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Todd Malvey was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.