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DR. MALCOLM A. PAINE M.D.
NPI 1851555437
Obstetrics & Gynecology in Bennington, VT

Active since July 14, 2008PECOS EnrolledAccepts Medicare Assignment
140 HOSPITAL DR, SUITE 302, BENNINGTON, VT 05201(802) 442-9600 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Malcolm A. Paine M.d. NPPES

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

DR. MALCOLM A. PAINE M.D. (NPI 1851555437) is an individual obstetrics & gynecology provider in Bennington, Vermont, licensed in New Hampshire (RT-1865) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Southwestern Vermont Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1851555437
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MALCOLM A. PAINECredential: M.D.
Location Address140 HOSPITAL DR, SUITE 302Bennington, VT 05201-5009
Mailing Address140 Hospital Dr, Suite 302Bennington, VT 05201-5009 · (802) 442-9600
Phone(802) 442-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 14, 2008
Last NPPES UpdateJune 28, 2012
✔ NPI 1851555437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NH · RT-1865
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
140 HOSPITAL DR, Bennington, VT 05201
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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. Malcolm A. Paine 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 ID6507015898
PECOS Enrollment IDI20121002000151
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 8

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 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.
87 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 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.
18 services18 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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05201 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 20

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

DR. JOHN MATHESON MCLELLAN MDCM
Obstetrics & Gynecology
140 HOSPITAL DR
BENNINGTON, VT 05201
Bennington County (802) 442-8182
DR. KIMBERLEY JAYNE SAMPSON M.D.
Obstetrics & Gynecology (Obesity Medicine)
140 HOSPITAL DR
BENNINGTON, VT 05201
Bennington County (802) 442-9600
DR. LAWRENCE JOSEPH PIETRUCHA D.D.S.
Dentist
140 HOSPITAL DR, SUITE 306
BENNINGTON, VT 05201
Bennington County (802) 447-8810
SOUTHWESTERN VERMONT MEDICAL CENTER, INC.
Surgery (Plastic and Reconstructive Surgery)
140 HOSPITAL DR, SUITE 204
BENNINGTON, VT 05201
Bennington County (802) 447-0607
MARTIN R LULOFF M.D.
Pediatrics
140 HOSPITAL DR, SUITE 207
BENNINGTON, VT 05201
Bennington County (802) 447-3930
AIMEE BULLETTSMITH NP
Nurse Practitioner
140 HOSPITAL DR, SUITE 215
BENNINGTON, VT 05201
Bennington County (802) 442-2997
AMY SUSAN KRANICK CNM
Advanced Practice Midwife
140 HOSPITAL DR, SUITE 306
BENNINGTON, VT 05201
Bennington County (802) 447-2677
JOSEPH HAROLD KRATZER MD
Psychiatry & Neurology (Neurology)
140 HOSPITAL DR, SUITE 309
BENNINGTON, VT 05201
Bennington County (802) 442-3900

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 Malcolm Paine's NPI number?

The NPI number for Malcolm Paine is 1851555437. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Malcolm Paine located?

Malcolm Paine practices at 140 Hospital Dr Suite 302, Bennington, VT 05201. The listed phone number is (802) 442-9600.

What is Malcolm Paine's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Malcolm Paine enrolled in Medicare?

Yes. Malcolm Paine 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 Malcolm Paine accept?

Health plans from Anthem Blue Cross and Blue Shield list Malcolm Paine 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 Malcolm Paine affiliated with any hospitals?

According to CMS data, Malcolm Paine is affiliated with Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Malcolm Paine was last updated on June 28, 2012. 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.