DR. JACK DEMPSEY III MALONE (DO) – Pulmonary Disease Physician, NPI 1629561196

DR. JACK DEMPSEY III MALONE (DO) is a healthcare provider. based in Norton, Virginia. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials DO. They hold a License No. 17310A (WY). The NPI Number for DR. JACK DEMPSEY III MALONE (DO) is 1629561196

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK DEMPSEY III MALONE (DO)
NPI
1629561196
Phone
(276) 439-1000
Address
100 15TH ST NW
Enumeration Date
10 June 2018
Last Update Date
8 August 2024

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Secondary Phone
3075770477
Graduation Year
2018 (8 years ago)
PAC ID
5597203570
Group Practice PAC ID
5092978866
Professional Enrollment ID
I20240821003830
Address ID
WY826012951CA419XXSTXX411
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

566 CRITICAL CARE (INTENSIVISTS) in VA

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Provider Addresses for DR. JACK DEMPSEY III MALONE (DO)

  • Norton Community Hospital, 100, 15th Street Northwest, Norton, Norton City, Virginia, 24273, United States

    NORTON, VA 242731616

    Phone: (276) 439-1000

    Type: Location

  • 1 MEDICAL PARK BLVD STE 205E

    BRISTOL, TN 376207507

    Phone: (423) 844-5520

    Type: Location

  • 1233 E 2ND ST

    CASPER, WY 826012926

    Phone: (307) 577-7201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: United Therapeutics Corporation ($97).

Total Amount

$97

General + Research + Ownership

Payments

2

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2024-08-21

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
I20240821003830ICritical Care (Intensivists)WYTBD

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 24273)

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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: 5092978866View full group profile
NameSpecialtyState
Nurse PractitionerCO
General SurgeryWY
Cardiac Surgery, Thoracic SurgeryVA
U R O L O G YNY
Family PracticeWY
Internal MedicineCO
Nurse PractitionerTN
Family PracticeWY
Emergency MedicineCO
Nurse PractitionerWY

Reviews

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Frequently asked questions

Can I cross-check DR. JACK DEMPSEY III MALONE (DO) using NPI 1629561196?
NPI 1629561196 belongs to DR. JACK DEMPSEY III MALONE (DO); compare other details if you need extra assurance.
Is DR. JACK DEMPSEY III MALONE (DO) shown as active in public data?
Registry records indicate DR. JACK DEMPSEY III MALONE (DO) maintains an active NPI.
How would a patient describe DR. JACK DEMPSEY III MALONE (DO)'s focus?
For DR. JACK DEMPSEY III MALONE (DO), the primary taxonomy reads as Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JACK DEMPSEY III MALONE (DO)?
Travel planning: use Norton, Virginia as the reference point for DR. JACK DEMPSEY III MALONE (DO), then confirm.
Can I trust this NPI listing for DR. JACK DEMPSEY III MALONE (DO)?
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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