DR. ROBERT JAMES MALCOLM III MD
NPI 1831382670
Internal Medicine - Gastroenterology in East Stroudsburg, PA

Q: What is Robert Malcolm's NPI number?

The NPI number for Robert Malcolm is 1831382670. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Q: What is Robert Malcolm's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Robert Malcolm was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

239 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-3872(484) 526-6546 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Robert James Malcolm Iii Md NPPES

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

DR. ROBERT JAMES MALCOLM III MD (NPI 1831382670) is an individual gastroenterology provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD436399) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of University Of South Carolina School Of Medicine (2002).

NPPES Registry Identity

NPI1831382670

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ROBERT JAMES MALCOLM IIICredential: MD

Location Address239 E BROWN STEast Stroudsburg, PA 18301-3005

Mailing Address239 E Brown StEast Stroudsburg, PA 18301-3005 · (570) 421-3872 · Fax (484) 526-6546

Phone(570) 421-3872

Fax(484) 526-6546

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2002

Enumeration DateAugust 24, 2007

Last NPPES UpdateMay 24, 2016

✔ NPI 1831382670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD436399

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA08270800 (NJ), 236681 (NY)

239 E BROWN ST, East Stroudsburg, PA 18301

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN122078UXXNJ

Medicare PIN122078PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert James Malcolm Iii Md 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 ID5698851459

PECOS Enrollment IDI20091012000463

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 Reassignment

Medicare enrollment records show Robert Malcolm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Luke's Physician Group, Inc.

Same address

Pulmonary Disease

239 E BROWN ST
East Stroudsburg, PA 18301

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1003349424 (570) 421-3872

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 14

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

195 services194 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

143 services140 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.

83 services54 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.

71 services71 patients

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.

71 services65 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services46 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

39 services39 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

39 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services36 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

32 services31 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

25 services25 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

24 services22 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 18

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

ST. LUKE'S PHYSICIAN GROUP, INC.

Internal Medicine (Pulmonary Disease)

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3872

ALYSSA K LANE PA-C

Physician Assistant

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3872

JEFFREY F BAIR MD

Internal Medicine (Cardiovascular Disease)

239 E BROWN ST, MEDICAL ASSOC OF MONROE COUNTY
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3872

ERIKA ESHLEMAN PA-C

Physician Assistant

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (272) 212-3200

BRIAN F MCDONALD MD

Internal Medicine

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3872

PETRONELLAH MAZORODZE DNP

Nurse Practitioner

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (272) 212-3872

STEVEN E GOLD MD

Internal Medicine

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3812

DEVIN M RODRIGUEZ PA

Physician Assistant (Medical)

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-3872

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 Robert Malcolm's NPI number?

The NPI number for Robert Malcolm is 1831382670. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Robert Malcolm located?

Robert Malcolm practices at 239 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 421-3872.

What is Robert Malcolm's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Malcolm enrolled in Medicare?

Yes. Robert 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.

Which organization bills Medicare for Robert Malcolm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Malcolm reassigns Medicare benefits to St. Luke's Physician Group, Inc. (East Stroudsburg, PA). The 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 Robert Malcolm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robert Malcolm affiliated with any hospitals?

According to CMS data, Robert Malcolm is affiliated with St Luke's Hospital Bethlehem and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Robert Malcolm was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.