REGINALD MARTINEZ MALONE PA-C
NPI 1912404401
Physician Assistant in Marietta, GA

Q: What is Reginald Malone's NPI number?

The NPI number for Reginald Malone is 1912404401. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Reginald Malone's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Reginald Malone was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 10, 2018PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

175 WHITE ST NW STE 100, MARIETTA, GA 30060(470) 793-0208 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Jun 5, 2024, Aug 16, 2021 and 1 more (4 updates tracked since 2018).

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About Reginald Martinez Malone Pa-c NPPES

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

REGINALD MARTINEZ MALONE PA-C (NPI 1912404401) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (9381) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912404401

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameREGINALD MARTINEZ MALONECredential: PA-C

Location Address175 WHITE ST NW STE 100Marietta, GA 30060-1054

Mailing Address175 White St Nw Ste 100Marietta, GA 30060-1054 · (470) 793-0208

Phone(470) 793-0208

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 10, 2018

Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1912404401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in GA · 9381✔ Licensed in NY · 021986

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 021986 (NY)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 021986 (NY)

175 WHITE ST NW STE 100, Marietta, GA 30060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.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

Reginald Martinez Malone Pa-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.

PECOS PAC ID6800141706

PECOS Enrollment IDI20191003003515

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 2

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 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.

87 services59 patients

Remote monitoring of pulmonary artery pressure sensor, up to 30 days 93264

Remote monitoring of pulmonary artery pressure is a procedure where a sensor, placed in your lung artery, transmits data about your heart's function for up to 30 days. This helps doctors monitor your heart health remotely, ensuring timely intervention if needed.

52 services16 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

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.

92.26/100

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

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

KATHLEEN MACKENZIE CLARKE NP

Nurse Practitioner (Acute Care)