DR. SEAN I MALONE M.D.
NPI 1912983420
Internal Medicine in Salisbury, NC

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
611 MOCKSVILLE AVE, SALISBURY, NC 28144(704) 633-7220(704) 647-0515 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2020, Jan 10, 2018, Jul 5, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Sean I Malone M.d. NPPES

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

DR. SEAN I MALONE M.D. (NPI 1912983420) is an individual internal medicine provider in Salisbury, North Carolina, licensed in North Carolina (200000265) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of University Of Virginia School Of Medicine (1996).

NPPES Registry Identity

NPI1912983420
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SEAN I MALONECredential: M.D.
Location Address611 MOCKSVILLE AVESalisbury, NC 28144-2705
Mailing Address611 Mocksville AveSalisbury, NC 28144-2705 · (704) 633-7220 · Fax (704) 647-0515
Fax(704) 647-0515
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1996
Enumeration DateDecember 16, 2005
Last NPPES UpdateMarch 17, 20204 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
NPI 1912983420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 200000265
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

611 MOCKSVILLE AVE, Salisbury, NC 28144

Other Identifiers 1

Medicaid89126A4NC

Accepted 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. Sean I Malone 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 ID3072401694
PECOS Enrollment IDI20100429000276
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
165 services79 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
136 services136 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.
135 services135 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.
113 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services62 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.
62 services38 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers34 claims83 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims22 services$1.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers33 claims33 services$13.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers48 claims48 services$62.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
611 MOCKSVILLE AVE
SALISBURY, NC 28144
Physician Assistant
611 MOCKSVILLE AVE
SALISBURY, NC 28144
Clinic/Center (Ambulatory Surgical)
611 MOCKSVILLE AVE, STE 300
SALISBURY, NC 28144
Clinical Medical Laboratory
611 MOCKSVILLE AVE, STE 201
SALISBURY, NC 28144
Nurse Practitioner (Family)
611 MOCKSVILLE AVE
SALISBURY, NC 28144
Family Medicine
611 MOCKSVILLE AVE
SALISBURY, NC 28144
Family Medicine
611 MOCKSVILLE AVE
SALISBURY, NC 28144
Internal Medicine
611 MOCKSVILLE AVE
SALISBURY, NC 28144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912983420, enumerated as an "individual" on December 16, 2005.

The provider is located at 611 MOCKSVILLE AVE SALISBURY, NC 28144 and the phone number is (704) 633-7220.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Sean Malone is affiliated with: NOVANT HEALTH ROWAN MEDICAL CENTER.