Kevin Malone, MD
NPI 1154331411 · Surgery Physician · Effingham, IL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Malone, MD is a Surgery Physician provider in Effingham, IL (NPI 1154331411).
Provider details
- NPI number
- 1154331411
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036092819 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
612 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 201 | $74 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 135 | $165 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 89 | $102 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 41 | $131 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 39 | $94 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 140 | 38 |
| Pantoprazole Sodium | 24 | — |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 15 | 12 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 900 W Temple AveSuite 101Effingham, IL 62401-2186Phone: (217) 347-2500Fax: (217) 342-9775
- 904 W Temple AveEffingham, IL 62401-2178Phone: (217) 342-1234Fax: (217) 342-1230
- 220 S Park Ave Fl 3Herrin, IL 62948-3602Phone: (618) 942-2002
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Frequently asked questions
- What is Kevin Malone's NPI number?
- Kevin Malone's National Provider Identifier (NPI) is 1154331411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Malone's specialty?
- Kevin Malone is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Malone located?
- Kevin Malone's practice location on file with NPPES is 1104 W Evergreen Ave, Effingham, IL 62401-1710.
- What is Kevin Malone's phone number?
- The practice phone number listed in the NPPES registry for Kevin Malone is (217) 347-2500.
- Does Kevin Malone accept Medicare?
- Kevin Malone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Malone's NPI active?
- Yes — Kevin Malone's NPI (1154331411) is active in the NPPES registry as of the last update on 2021-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.