DR. EDWARD WALTER IV MALIN (MD) – Plastic Surgery Physician, NPI 1871751180

DR. EDWARD WALTER IV MALIN (MD) is a healthcare provider. based in Brockton, Massachusetts. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 0101242673 (VA). The NPI Number for DR. EDWARD WALTER IV MALIN (MD) is 1871751180

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD WALTER IV MALIN (MD)
NPI
1871751180
Phone
(508) 941-7885
Address
680 Centre St
Enumeration Date
23 May 2008
Last Update Date
29 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087462000
Graduation Year
2003 (23 years ago)
PAC ID
6608034129
Group Practice PAC ID
1254321086
Professional Enrollment ID
I20181210000901
Address ID
MA023602183PL275XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

210 PLASTIC AND RECONSTRUCTIVE SURGERY in MA

Provider Addresses for DR. EDWARD WALTER IV MALIN (MD)

  • 680 Centre St

    Brockton, MA 023023308

    Phone: (508) 941-7885

    Fax: (508) 941-6337

    Type: Location

  • 31 Roche Bros Way

    North Easton, MA 023561032

    Phone: (508) 894-0400

    Fax: (508) 894-8700

    Type: Location

  • 3400 Rawley E Chambers Ave

    ISR-Burn Unit

    San Antonio, TX 782347527

    Phone: (210) 916-3301

    Type: Location

  • 2, Obery Street, Jabez Corner, Plymouth, Plymouth County, Massachusetts, 02360, United States

    PLYMOUTH, MA 023602238

    Phone: (508) 746-2345

    Fax: (508) 747-2850

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ABBVIE INC. ($170).

Total Amount

$170

General + Research + Ownership

Payments

7

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$170
View all Open Payments →|Open Payments Risk Radar →

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: 2018-12-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181210000901IPlastic And Reconstructive SurgeryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4229$0
99212Established patient office or other outpatient visit, 10-19 minutes3125$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less1211$0
View full utilization report →

Insurance plans in this area (ZIP 02302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254321086View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMA
Physician AssistantMA
Certified Nurse Midwife (Cnm)MA
Physician AssistantMO
Nurse PractitionerMA
Thoracic SurgeryMA
H E M A T O L O G Y/ O N C O L O G YMA
-MA
General SurgeryMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. EDWARD WALTER IV MALIN (MD)?
NPI 1871751180 is assigned to DR. EDWARD WALTER IV MALIN (MD) under the national enumeration system.
Is DR. EDWARD WALTER IV MALIN (MD) currently active in the NPI registry?
CMS-published data lists DR. EDWARD WALTER IV MALIN (MD) as an active registrant.
What kind of provider is DR. EDWARD WALTER IV MALIN (MD)?
The page reflects Plastic Surgery Physician for DR. EDWARD WALTER IV MALIN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. EDWARD WALTER IV MALIN (MD)?
The page summarizes Brockton, Massachusetts for DR. EDWARD WALTER IV MALIN (MD); expand the address list for detail.
How can I contact DR. EDWARD WALTER IV MALIN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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