DR. EDWIN ROBERT MALONE JR. M.D.
NPI 1821224320
Emergency Medicine in Kingwood, TX

Active since June 10, 2009PECOS Enrolled
22999 U.S. 59, KINGWOOD MEDICAL CENTER, KINGWOOD, TX 77339(281) 348-8560 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edwin Robert Malone Jr. M.d. NPPES

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

DR. EDWIN ROBERT MALONE JR. M.D. (NPI 1821224320) is an individual emergency medicine provider in Kingwood, Texas, licensed in Illinois (125056564) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821224320
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. EDWIN ROBERT MALONE JR.Credential: M.D.
Location Address22999 U.S. 59, KINGWOOD MEDICAL CENTERKingwood, TX 77339
Mailing Address13706 Blair Hill LnHouston, TX 77044-1283 · (504) 606-2284
Sole ProprietorYes
Enumeration DateJune 10, 2009
Last NPPES UpdateJuly 24, 2014
✔ NPI 1821224320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 125056564✔ Licensed in TX · P5205
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
22999 U.S. 59, Kingwood, TX 77339

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin Robert Malone Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edwin Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services49 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services24 patients
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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
22999 U.S. 59
KINGWOOD, TX 77339

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 Edwin Malone's NPI number?

The NPI number for Edwin Malone is 1821224320. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Edwin Malone located?

Edwin Malone practices at 22999 U.S. 59 Kingwood Medical Center, Kingwood, TX 77339. The listed phone number is (281) 348-8560.

What is Edwin Malone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Edwin Malone enrolled in Medicare?

Yes. Edwin Malone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edwin Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Malone reassigns Medicare benefits to 2 organizations: Emergency Medicine Services Of Tx, PLLC (San Antonio, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). 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 Edwin Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Malone accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Edwin 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.

When was this NPI record last updated?

The NPPES record for Edwin Malone was last updated on July 24, 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.