Theresa Malone, PA-C
NPI 1396814752 · Physician Assistant · Charleston, SC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Malone, PA-C is a Physician Assistant provider in Charleston, SC (NPI 1396814752).
Provider details
- NPI number
- 1396814752
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- A992 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
274 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 190 | $95 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 84 | $140 |
Typical Medicare-allowed amounts for these services range $95–$140 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 70 | 70 |
| Tizanidine Hcl | 67 | 67 |
| Prednisone | 41 | 41 |
| Ondansetronbrand: Ondansetron Odt | 33 | 33 |
| Cephalexin | 28 | 28 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 27 | 27 |
| Cyclobenzaprine Hcl | 24 | 24 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2020-11-28
- Certified
- 2020-11-28
Frequently asked questions
- What is Theresa Malone's NPI number?
- Theresa Malone's National Provider Identifier (NPI) is 1396814752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Malone's specialty?
- Theresa Malone is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Malone located?
- Theresa Malone's practice location on file with NPPES is 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733.
- What is Theresa Malone's phone number?
- The practice phone number listed in the NPPES registry for Theresa Malone is (843) 402-1037.
- Does Theresa Malone accept Medicare?
- Theresa Malone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Malone's NPI active?
- Yes — Theresa Malone's NPI (1396814752) is active in the NPPES registry as of the last update on 2020-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.