MATTHEW MALONE M.D.
NPI 1922446277
Emergency Medicine in Columbus, OH
About Matthew Malone M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW MALONE M.D. (NPI 1922446277) is an individual emergency medicine provider in Columbus, Ohio, licensed in Ohio (35.131599) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio State University College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
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
Matthew 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.
Medicare Billing Reassignments
2Medicare 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.
Columbus, OH 43210
- Reassigned Medicare billing, Ohio enrollment
- 169 clinicians in this Medicare group
Columbus, OH 43210
- Reassigned Medicare billing, Ohio enrollment
- 551 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohio State University State Health System
Acute Care Hospitals · Columbus, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
COLUMBUS, OH 43210
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 Matthew Malone's NPI number?
The NPI number for Matthew Malone is 1922446277. It was assigned to this individual provider in the NPPES registry on June 10, 2013.
Where is Matthew Malone located?
Matthew Malone practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8305.
What is Matthew Malone's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Malone enrolled in Medicare?
Yes. Matthew 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 organizations bill Medicare for Matthew Malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Malone reassigns Medicare benefits to 2 organizations: Osu Emergency Medicine LLC (Columbus, OH) and Osu Observation Medicine, LLC (Columbus, OH). Each 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 Matthew Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Malone accept?
Health plans from CareSource list Matthew 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.
Is Matthew Malone affiliated with any hospitals?
According to CMS data, Matthew Malone is affiliated with Ohio State University State Health System.
When was this NPI record last updated?
The NPPES record for Matthew Malone was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.