Active NPI 1255418414 Individual Practitioner Female Practitioner

Millicent M Malcolm , APRN

Nurse Practitioner • Middletown, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Millicent Malcolm, APRN is a certified Nurse Practitioner practicing in Middletown, CT. With approximately 27 years of clinical experience since completing medical education in 1999, Millicent Malcolm delivers high-quality medical care to the local community at 520 SAYBROOK RD.

Millicent Malcolm is affiliated with Mhs Primary Care, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with low level of medical decision making, per day, if using time, at least, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Saybrook Rd
Suite N100

Middletown, CT 064574700

Telephone 8603441801

Fax 8603588657

Associated Practice Facility / Clinic

🏢 Middlesex Urology, Pc. Facility NPI 1790873453

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Middletown, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +17.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

25 Specialists

Practicing in Middletown, CT (941 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malcolm (27 Years) 27 Yrs

Middletown Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	130	43	$264.00	$115.04
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	73	40	$155.00	$68.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	34	$126.00	$49.56
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	45	27	$367.50	$167.40
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	19	$103.00	$38.99
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	27	18	$116.00	$40.71
99496 Transitional care management services for problem of high complexity	21	16	$491.00	$257.81
99344 New patient home visit, typically 1 hour	14	14	$378.00	$128.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	136	37	$264.00	$113.72
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	91	32	$155.00	$67.81
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	57	30	$367.50	$165.80
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	48	24	$116.00	$39.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	24	$126.00	$47.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$194.00	$116.73
0124A Fee covid-19 vac 13 res	11	11	$100.00	$43.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	97	26	$231.00	$121.34
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	73	26	$264.00	$115.52
99335 Established patient assisted living visit, typically 25 minutes	67	24	$172.00	$86.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	21	$126.00	$49.10
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	26	12	$367.50	$159.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	14	$103.00	$38.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	121	34	$172.00	$86.83
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	74	21	$264.00	$117.24
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	37	23	$106.00	$54.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	25	$126.00	$49.22
99336 Established patient assisted living visit, typically 40 minutes	35	22	$231.00	$122.95
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	13	$103.00	$38.41
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	21	14	$367.50	$161.90
G0008 Administration of influenza virus vaccine	14	14	$46.00	$18.53
0004A Fee covid-19 vac 1 res	14	14	$100.00	$43.50
90662 Influenza vaccine split virus, preservative free	13	13	$163.00	$61.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$194.00	$123.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	173	43	$172.00	$86.94
99336 Established patient assisted living visit, typically 40 minutes	59	32	$231.00	$122.75
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	55	25	$106.00	$55.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	27	$126.00	$49.33
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	33	18	$256.18	$117.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	14	$103.00	$38.04
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	28	13	$155.00	$76.71
90662 Influenza vaccine split virus, preservative free	18	18	$73.67	$60.98
G0008 Administration of influenza virus vaccine	18	18	$46.00	$18.33
G0009 Administration of pneumococcal vaccine	15	15	$46.00	$18.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$145.00	$119.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	199	41	$172.00	$86.69
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	74	33	$106.00	$55.03
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	63	18	$155.00	$76.64
99336 Established patient assisted living visit, typically 40 minutes	63	33	$231.00	$123.61
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	35	17	$221.00	$117.82
G0009 Administration of pneumococcal vaccine	20	20	$46.00	$17.96
99496 Transitional care management services for problem of high complexity	19	15	$491.00	$213.67
90662 Influenza vaccine split virus, preservative free	16	16	$74.00	$54.89
G0008 Administration of influenza virus vaccine	16	16	$46.00	$17.96
90670 Pneumococcal vaccine for injection into muscle	13	13	$278.00	$210.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	140	42	$172.00	$85.64
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	62	24	$106.00	$54.37
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	59	19	$164.76	$75.99
99336 Established patient assisted living visit, typically 40 minutes	54	27	$231.00	$122.48
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	36	17	$221.00	$116.53
G0008 Administration of influenza virus vaccine	27	27	$46.00	$22.26
90662 Influenza vaccine split virus, preservative free	27	27	$74.00	$52.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	249	57	$163.62	$85.58
99336 Established patient assisted living visit, typically 40 minutes	128	48	$231.00	$121.59
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	61	26	$221.00	$116.03
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	54	28	$106.00	$54.26
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	49	22	$155.00	$76.02
G0008 Administration of influenza virus vaccine	39	39	$46.00	$27.77
90662 Influenza vaccine split virus, preservative free	37	37	$70.00	$48.05
99495 Transitional care management services for problem of at least moderate complexity	34	27	$352.00	$149.19
99496 Transitional care management services for problem of high complexity	23	17	$491.00	$210.86

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CT 002258

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CT 002258

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License CT 002258

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4208296 (CT)

Medicaid State Provider ID

004208296 (CT)

Hospital & Practice Group Affiliations

Mhs Primary Care, Inc.

28 Crescent St, Middletown, CT 064573654

Mhs Primary Care, Inc.

520 Saybrook Rd, Middletown, CT 064574700

Mhs Primary Care, Inc.

270 Main St, Portland, CT 064801836

Phone: 8603585040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Larry Levine , MD

Family Medicine

NPI 1144257338

Doctor of Medicine (M.D.)

Dr. Michael Spada , MD

Internal Medicine

NPI 1336348887

Doctor of Medicine (M.D.)

Dr. Marina Ionita , MD

Internal Medicine

NPI 1386639268

Doctor of Medicine (M.D.)

Alexandra Schain , APRN

Nurse Practitioner - Adult Health

NPI 1578973905

Advanced Practice Registered Nurse

Dr. Kalpana Reddy , MD

Family Medicine

NPI 1609430354

Doctor of Medicine (M.D.)

Elizabeth Stankiewicz , APRN

Nurse Practitioner - Family

NPI 1700959053

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2017

Registered at 520 SAYBROOK RD, SUITE N100, MIDDLETOWN, CT 064574700 (Tel: 8603441801)

📍

Updated Business Mailing Address April 12, 2017

Registered at 28 CRESCENT ST, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤

Provider Name / Credentials Updated April 12, 2017

Recorded as MILLICENT MALCOLM, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Nurse Practitioner (License #002258 in CT)

✅

NPI Profile Active April 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2014

Registered at 520 SAYBROOK RD, SUITE N100, MIDDLETOWN, CT 064574700 (Tel: 8603441801)

📍

Updated Business Mailing Address April 23, 2014

Registered at 28 CRESCENT ST, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤

Provider Name / Credentials Updated April 23, 2014

Recorded as MILLICENT MALCOLM, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2014

Nurse Practitioner (License #002258 in CT)

🟢

Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255418414

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 01, 2006

Last Update: April 12, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

28 Crescent St

Middletown, CT 064573654

Phone: 8603584820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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