DR. KEVIN D MALONE (MD) – Surgery Physician, NPI 1154331411
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,423 GENERAL SURGERY in IL
Provider Addresses for DR. KEVIN D MALONE (MD)
220 S Park Ave Fl 3
Herrin, IL 629483602
Phone: (618) 942-2002
Type: Location
900 W Temple Ave
SUITE 101
Effingham, IL 624012186
Phone: (217) 347-2500
Fax: (217) 342-9775
Type: Location
904 W Temple Ave
Effingham, IL 624012178
Phone: (217) 342-1234
Fax: (217) 342-1230
Type: Location
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384693
Phone: (217) 238-6055
Fax: (217) 258-2216
Type: Mailing
1104, West Evergreen Avenue, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624011710
Phone: (217) 347-2500
Fax: (217) 342-9775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($95).
Total Amount
$168
General + Research + Ownership
Payments
4
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $95 |
| Edwards Lifesciences Corporation | $41 |
| Merck Sharp & Dohme LLC | $32 |
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: 2010-08-18
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 |
|---|---|---|---|---|
| I20100818000654 | I | General Surgery | IL | 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 | 113 | 92 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 102 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 77 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 37 | 34 | $0 |
Insurance plans in this area (ZIP 62948)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | IL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IN | |
| Internal Medicine | IL | |
| - | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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