Thomas Malone, MD
NPI 1427018159 · Family Medicine Physician · Clemson, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Malone, MD is a Family Medicine Physician provider in Clemson, SC (NPI 1427018159).
Provider details
- NPI number
- 1427018159
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 10971 (SC)
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
196 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 | 93 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 65 | $120 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 24 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 14 | $121 |
Typical Medicare-allowed amounts for these services range $9–$121 (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 · 48 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 389 | 39 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 132 | 12 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 130 | 23 |
| Oxycodone Hcl | 128 | 12 |
| Gabapentin | 61 | 26 |
| Omeprazole | 55 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33 across 2 records (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 (2)
- 13400 Clemson BlvdSeneca, SC 29678-1455Phone: (864) 506-8990
- 24 E Main StWilliamston, SC 29697-1925Phone: (864) 847-6020Fax: (864) 857-6007
Registry dates
- Enumerated
- 2006-03-25
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Frequently asked questions
- What is Thomas Malone's NPI number?
- Thomas Malone's National Provider Identifier (NPI) is 1427018159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Malone's specialty?
- Thomas Malone is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Malone located?
- Thomas Malone's practice location on file with NPPES is 735 Mcmillan Rd, Clemson, SC 29634-4054.
- What is Thomas Malone's phone number?
- The practice phone number listed in the NPPES registry for Thomas Malone is (864) 656-2233.
- Does Thomas Malone accept Medicare?
- Thomas Malone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Malone's NPI active?
- Yes — Thomas Malone's NPI (1427018159) is active in the NPPES registry as of the last update on 2024-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.