DR. JEFFREY T MALONE D.C.
NPI 1891861472
Chiropractor in Pleasant Prairie, WI
About Dr. Jeffrey T Malone D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY T MALONE D.C. (NPI 1891861472) is an individual chiropractor in Pleasant Prairie, Wisconsin, licensed in Wisconsin (3473-012) and active in the NPI registry since November 2006. He maintains a secondary practice location in Kenosha and is a graduate of Palmer College Chiropractic - Davenport (1997).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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. Jeffrey T Malone D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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
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.
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.
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 Jeffrey Malone's NPI number?
The NPI number for Jeffrey Malone is 1891861472. It was assigned to this individual provider in the NPPES registry on November 27, 2006.
Where is Jeffrey Malone located?
Jeffrey Malone practices at 12500 Aurora Dr, Pleasant Prairie, WI 53158. The listed phone number is (262) 857-5000.
What is Jeffrey Malone's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jeffrey Malone enrolled in Medicare?
Yes. Jeffrey Malone 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 Jeffrey Malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Malone reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). 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 Jeffrey Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Malone accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Jeffrey 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 Jeffrey Malone was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Jeffrey T Malone, D.C. · NPI 1891861472
Chiropractor provider in Pleasant Prairie, Wisconsin. Individual provider, active in the CMS NPPES registry since November 27, 2006.
## Identity
- **NPI:** 1891861472 (Entity type: Individual)
- **Enumerated:** November 27, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 3473-012 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12500 AURORA DR, Pleasant Prairie, WI 53158-1227
- **Phone:** (262) 857-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 1997
## Record status
- **NPPES last updated:** September 8, 2025
- **Other identifiers:** Medicaid 38939400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1891861472) · Data from the CMS NPPES public registry.