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PHILIP MALM
NPI 1841918570
Physician Assistant in Lenox, MA

Active since August 18, 2022PECOS EnrolledAccepts Medicare Assignment
55 PITTSFIELD RD STE 12D, LENOX, MA 01240(508) 373-5607 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Aug 18, 2022 (2 updates tracked since 2022).

About Philip Malm NPPES

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

PHILIP MALM (NPI 1841918570) is an individual physician assistant in Lenox, Massachusetts and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841918570
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHILIP MALM
Location Address55 PITTSFIELD RD STE 12DLenox, MA 01240-2185
Mailing Address55 Pittsfield Rd Ste 12dLenox, MA 01240-2185 · (413) 344-1700
Phone(508) 373-5607
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2022
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1841918570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
55 PITTSFIELD RD STE 12D, Lenox, MA 01240
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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

Philip Malm 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 ID3870959216
PECOS Enrollment IDI20230510000875
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 10

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
152 services107 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.
145 services118 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.
116 services116 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
97 services95 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
44 services44 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221302
Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01240 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
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 2

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

MRS. ASHLEY ELIZABETH WRZESINSKI MSN, APRN, FNP-BC
Nurse Practitioner (Family)
55 PITTSFIELD RD STE 12D
LENOX, MA 01240
Berkshire County (413) 344-1700
GEORGIA BETTINA MARTIN MD
Family Medicine
55 PITTSFIELD RD STE 12D
LENOX, MA 01240
Berkshire County (413) 344-1700

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 Philip Malm's NPI number?

The NPI number for Philip Malm is 1841918570. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Philip Malm located?

Philip Malm practices at 55 Pittsfield Rd Ste 12D, Lenox, MA 01240. The listed phone number is (508) 373-5607.

What is Philip Malm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Philip Malm enrolled in Medicare?

Yes. Philip Malm 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 Philip Malm affiliated with any hospitals?

According to CMS data, Philip Malm is affiliated with Berkshire Medical Center and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Philip Malm was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.