MATTHEW T MALONE D.O.
NPI 1912952136
Psychiatry & Neurology - Geriatric Psychiatry in Oro Valley, AZ

Q: What is Matthew Malone's NPI number?

The NPI number for Matthew Malone is 1912952136. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Matthew Malone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Malone was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 24, 2006PECOS EnrolledAccepts Medicare Assignment

1551 E TANGERINE RD, ORO VALLEY, AZ 85755(520) 901-3539(520) 901-3654 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2021, Sep 25, 2020 (2 updates tracked since 2020).

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About Matthew T Malone D.o. NPPES

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

MATTHEW T MALONE D.O. (NPI 1912952136) is an individual geriatric psychiatry provider in Oro Valley, Arizona, licensed in South Dakota (5794) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sioux Falls, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2001).

NPPES Registry Identity

NPI1912952136

Entity TypeIndividualMale

Primary Taxonomy2084P0805X

Provider Legal NameMATTHEW T MALONECredential: D.O.

Location Address1551 E TANGERINE RDOro Valley, AZ 85755-6213

Mailing Address1551 E Tangerine RdOro Valley, AZ 85755-6213 · (520) 901-3539 · Fax (520) 901-3654

Phone(520) 901-3539

Fax(520) 901-3654

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2001

Enumeration DateMay 24, 2006

Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1912952136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0805X

License✔ Licensed in SD · 5794

Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

1551 E TANGERINE RD, Oro Valley, AZ 85755

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Secondary Practice Location 1

Location 14400 W. 69th St., Ste. 1500Sioux Falls, SD 57108 · Phone (605) 322-5700 · Fax (605) 322-5704

Other Identifiers 15

Other370624200SD · Dept Of Labor

Other040121002MN · Primewest

Medicaid46022474352NE

Medicaid0722587IA

OtherHP42927SD · Healthpartners

Medicaid12200ND

Other53583SD · Sanford Health Plan

Other5794SD · Dakotacare

Other2152654SD · Araz/ America's Ppo

Other250264SD · Midlands Choice

Other412991041698SD · Preferred One

Other4994072SD · Blue Cross

Other57108C011SD · Wps Tricare

Other99G68MAMN · Cc Systems/ Blue Plus

Medicaid156692000MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Matthew T Malone D.o. 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 ID8426036625

PECOS Enrollment IDI20150129002307

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 Reassignments

Medicare enrollment records show Matthew Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner-University Medical Group

8.3 mi

Nutrition, Education

6261 N LA CHOLLA BLVD STE 131
Tucson, AZ 85741

Reassigned Medicare billing, Arizona enrollment
1,514 clinicians in this Medicare group

NPI 1639842677 (520) 694-5437

Northwest Allied Physicians LLC

8.5 mi

General Practice

6060 N FOUNTAIN PLAZA DR STE 270
Tucson, AZ 85704

Reassigned Medicare billing, Arizona enrollment
296 clinicians in this Medicare group

NPI 1003833179 (520) 229-2578

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 5

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

95 services53 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.

69 services47 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

60 services34 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

57 services57 patients

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.

38 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85755 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

AUSTRALIAN HERRING INPATIENT SERVICES LLC

Internal Medicine