DR. ANDREA MARIE MALON (M.D.) – Surgical Oncology Physician, NPI 1306825609
Surgical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
525 GENERAL SURGERY in CT
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Provider Addresses for DR. ANDREA MARIE MALON (M.D.)
520, Saybrook Road, Middletown, Lower Connecticut River Valley Planning Region, Connecticut, 06457, United States
MIDDLETOWN, CT 064574700
Phone: (860) 346-2608
Fax: (860) 347-4691
Type: Location
862, Arbutus Street, Long Hill, Middletown, Lower Connecticut River Valley Planning Region, Connecticut, 06457, United States
MIDDLETOWN, CT 064575177
Phone: (860) 346-2608
Type: Mailing
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 064574760
Phone: (860) 358-2850
Fax: (860) 358-8698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101013000494 | I | General Surgery | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 218 | 203 | $0 |
| G2212 | 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 | 24 | 12 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 15 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 14 | 14 | $0 |
| 38792 | Injection of radioactive material for x-ray identification of lymph node | 13 | 13 | $0 |
Insurance plans in this area (ZIP 06457)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | CT | 19301 | Partial removal of breast | 16 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Family Practice | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Family Practice | CT | |
| Family Practice | CT | |
| Physician Assistant | MA | |
| General Surgery | CT |
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