JAMES P MALONE (M.D.) – Otolaryngology Physician, NPI 1659367258
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
641 OTOLARYNGOLOGY in PA
Provider Addresses for JAMES P MALONE (M.D.)
875 POPLAR CHURCH RD
STE 320
CAMP HILL, PA 170112203
Phone: (717) 763-7400
Fax: (717) 763-4177
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $323.
Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Optinose US, Inc. ($143).
Total Amount
$323
General + Research + Ownership
Payments
15
Total payment records
General Amount
$323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-08-27
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 |
|---|---|---|---|---|
| I20120827000060 | I | Otolaryngology | PA | 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 |
|---|---|---|---|---|
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 135 | 98 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 82 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 36 | 28 | $0 |
Insurance plans in this area (ZIP 17011)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | PA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | PA | |
| O T O L A R Y N G O L O G Y | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| O T O L A R Y N G O L O G Y | PA | |
| O T O L A R Y N G O L O G Y | PA | |
| - | PA | |
| Physician Assistant | PA | |
| O T O L A R Y N G O L O G Y | PA | |
| O T O L A R Y N G O L O G Y | PA |
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