DR. MATTHEW MICAH MALAN (MD) – Dermatology Physician, NPI 1861489106

DR. MATTHEW MICAH MALAN (MD) is a healthcare provider. based in Jbsa lackland, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. M-8852 (ID). The NPI Number for DR. MATTHEW MICAH MALAN (MD) is 1861489106

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW MICAH MALAN (MD)
NPI
1861489106
Phone
(210) 292-8200
Address
1100 WILFORD HALL LOOP, BLDG 4554
Enumeration Date
3 October 2005
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2104965792
Graduation Year
2002 (24 years ago)
PAC ID
4880911460
Group Practice PAC ID
5193972859
Professional Enrollment ID
I20230906000084
Address ID
TX782584287SA1314XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience95
Completeness75
Years active:20State licenses:5Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for DR. MATTHEW MICAH MALAN (MD)

  • 1100 WILFORD HALL LOOP, BLDG 4554

    ATTN: 59 MDW/SGHC

    JBSA LACKLAND, TX 782369908

    Phone: (210) 292-8200

    Type: Mailing

  • 1314 E SONTERRA BLVD STE 2201

    SAN ANTONIO, TX 782584287

    Phone: (210) 496-5792

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $3,203.

Total Amount is formed as General ($3,203) + Research ($0) + Ownership ($0) = $3,203.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($785).

Total Amount

$3,203

General + Research + Ownership

Payments

140

Total payment records

General Amount

$3,203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-09-06

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
I20230906000084IDermatologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78236)

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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: 5193972859View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
-TX
Physician AssistantTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

Is DR. MATTHEW MICAH MALAN (MD) listed with a National Provider Identifier?
Yes — DR. MATTHEW MICAH MALAN (MD) has NPI 1861489106 on file in the registry.
Is DR. MATTHEW MICAH MALAN (MD) shown as active in public data?
Registry records indicate DR. MATTHEW MICAH MALAN (MD) maintains an active NPI.
What clinical focus is listed for DR. MATTHEW MICAH MALAN (MD)?
At a glance, DR. MATTHEW MICAH MALAN (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MATTHEW MICAH MALAN (MD)?
Directory geography for DR. MATTHEW MICAH MALAN (MD) centers on Jbsa Lackland, Texas.
Can I trust this NPI listing for DR. MATTHEW MICAH MALAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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