Active NPI 1689693939 Individual Practitioner Male Practitioner

Michael P Malone , PA

Physician Assistant • Portsmouth, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michael Malone, PA is a certified Physician Assistant practicing in Portsmouth, VA. With approximately 25 years of clinical experience since graduating from Eastern Virginia Medical School in 2001, Michael Malone delivers high-quality medical care to the local community at 3636 HIGH ST.

Michael Malone is affiliated with Chesapeake Bay Ent Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of ear using a microscope, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3636 High St

Portsmouth, VA 237073236

Telephone 7573982200

Associated Practice Facility / Clinic

🏢 Maryview Outpatient Pharmacy Facility NPI 1255395968

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portsmouth, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +15.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

64 Specialists

Practicing in Portsmouth, VA (4432 Statewide)

Telehealth Adoption Rate

7.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

81.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malone (25 Years) 25 Yrs

Portsmouth Specialty Average (9.9 Years) 9.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	107	$199.00	$104.04
99213 Established patient office or other outpatient visit, typically 15 minutes	125	111	$146.00	$74.86
92504 Exam of ear using a microscope	114	91	$87.00	$23.31
99284 Emergency department visit with moderate level of medical decision making	89	88	$1118.21	$96.15
92567 Eardrum testing using ear probe	63	58	$53.00	$13.07
95117 Professional service for multiple injections of allergen	61	13	$35.00	$9.94
92557 Comprehensive hearing and speech recognition test	61	57	$152.00	$29.14
31231 Diagnostic examination of nasal passages using an endoscope	57	47	$360.00	$145.79
99285 Emergency department visit for life threatening or functioning severity	56	56	$1650.37	$135.68
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	56	52	$89.00	$42.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$274.00	$132.91
99283 Emergency department visit with low level of medical decision making	33	33	$589.41	$53.17
31575 Diagnostic exam of voice box using a flexible endoscope	28	27	$353.00	$102.10
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	26	26	$160.00	$25.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	129	123	$979.76	$98.44
99285 Emergency department visit for life threatening or functioning severity	53	51	$1472.42	$146.14
99283 Emergency department visit with low level of medical decision making	45	40	$515.38	$58.94
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$150.00	$76.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$220.00	$94.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	94	94	$1516.00	$149.02
99283 Emergency department visit with low level of medical decision making	84	82	$683.00	$60.61
99284 Emergency department visit with moderate level of medical decision making	48	48	$1026.00	$102.63
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$137.88	$78.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$220.00	$96.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	153	$116.82	$78.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	143	$155.94	$111.47
31231 Diagnostic examination of nasal passages using an endoscope	144	96	$340.00	$171.64
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	125	89	$89.00	$43.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$274.00	$144.25
92504 Exam of ear using a microscope	91	75	$87.00	$25.53
92557 Comprehensive hearing and speech recognition test	88	87	$152.00	$33.21
92567 Eardrum testing using ear probe	81	79	$53.00	$14.26
31575 Diagnostic exam of voice box using a flexible endoscope	53	46	$353.00	$111.36
70486 CT scan of face	32	32	$194.00	$35.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	25	$43.00	$19.54
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	26	26	$160.00	$29.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$200.00	$96.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	185	$139.10	$90.97
31231 Diagnostic examination of nasal passages using an endoscope	167	109	$340.00	$166.43
99213 Established patient office or other outpatient visit, typically 15 minutes	146	103	$100.48	$63.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	106	72	$43.00	$19.92
92504 Exam of ear using a microscope	96	72	$87.00	$24.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$274.00	$138.45
92557 Comprehensive hearing and speech recognition test	70	66	$152.00	$32.07
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	66	46	$89.00	$42.58
92567 Eardrum testing using ear probe	65	63	$53.00	$13.32
31575 Diagnostic exam of voice box using a flexible endoscope	45	34	$353.00	$106.32
70486 CT scan of face	34	34	$194.00	$36.31
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	33	33	$160.00	$27.55
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	25	23	$120.00	$51.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$82.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	435	215	$138.00	$92.03
31231 Diagnostic examination of nasal passages using an endoscope	334	169	$340.00	$170.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$274.00	$139.30
92504 Exam of ear using a microscope	134	106	$87.00	$24.92
99213 Established patient office or other outpatient visit, typically 15 minutes	109	87	$98.50	$62.69
92557 Comprehensive hearing and speech recognition test	106	101	$152.00	$32.53
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	87	87	$160.00	$28.35
92567 Eardrum testing using ear probe	87	86	$53.00	$12.94
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	76	58	$89.00	$40.60
31575 Diagnostic exam of voice box using a flexible endoscope	52	45	$353.00	$99.31
70486 CT scan of face	44	43	$194.00	$36.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	23	$43.00	$19.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	575	261	$138.00	$90.70
31231 Diagnostic examination of nasal passages using an endoscope	445	185	$340.00	$177.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$268.82	$137.57
92504 Exam of ear using a microscope	145	104	$87.00	$24.70
99213 Established patient office or other outpatient visit, typically 15 minutes	141	120	$98.62	$61.31
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	106	103	$160.00	$27.81
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	105	78	$89.00	$42.94
92557 Comprehensive hearing and speech recognition test	97	95	$152.00	$31.95
92567 Eardrum testing using ear probe	86	85	$53.00	$12.24
31575 Diagnostic exam of voice box using a flexible endoscope	73	65	$353.00	$95.18
70486 CT scan of face	52	51	$194.00	$36.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$90.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
31231 Diagnostic examination of nasal passages using an endoscope	468	184	$340.00	$175.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	201	$138.00	$89.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$270.63	$136.68
92504 Exam of ear using a microscope	103	83	$86.43	$24.89
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	71	69	$158.58	$27.94
92567 Eardrum testing using ear probe	62	61	$52.40	$12.18
92557 Comprehensive hearing and speech recognition test	61	60	$150.17	$31.80
99213 Established patient office or other outpatient visit, typically 15 minutes	60	51	$98.10	$60.83
70486 CT scan of face	50	49	$194.00	$36.27
31575 Diagnostic exam of voice box using a flexible endoscope	47	37	$353.00	$95.47
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	44	33	$89.00	$41.78

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110001371

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem

278245 (VA)

Hospital & Practice Group Affiliations

Chesapeake Bay Ent Pc

1232 Perimeter Pkwy, Virginia Beach, VA 234545924

Phone: 7578212090

Chesapeake Bay Ent Pc

36080 Lankford Hwy, Belle Haven, VA 233061100

Phone: 7574427040

Chesapeake Bay Ent Pc

1 Columbus Ctr, Virginia Beach, VA 234626784

Phone: 7579425466

Chesapeake Bay Ent Pc

130 W York St, Norfolk, VA 235102007

Phone: 7579351400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kristen Brown , CRNA, DNP

Nurse Anesthetist, Certified Registered

NPI 1003439548

Certified Registered Nurse Anesthetist, Doctor of Nursing Practice

Lola Oliver , PA-C

Physician Assistant

NPI 1003670613

Physician Assistant (Certified)

Jordan Cox , AGACNP

Nurse Practitioner - Acute Care

NPI 1023798964

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Stephan Hanna , DO

Student in an Organized Health Care Education/Training Program

NPI 1033006945

Doctor of Osteopathic Medicine (D.O.)

Odelkys Alvarez

Nurse Anesthetist, Certified Registered

NPI 1033651633

Ashleigh Wiggins , MSN, AGPCNP-BC

Nurse Practitioner - Adult Health

NPI 1043835101

Master of Science in Nursing, AGPCNPBC

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2013

Registered at 3636 HIGH ST, PORTSMOUTH, VA 237073236 (Tel: 7573982200)

📍

Updated Business Mailing Address December 05, 2013

Registered at 1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 379321984 (Tel: 8659857049)

👤

Provider Name / Credentials Updated December 05, 2013

Recorded as MICHAEL MALONE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2013

Physician Assistant (License #0110001371 in VA)

🟢

Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689693939

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1431 Centerpoint Blvd, Suite 100

Knoxville, TN 379321984

Phone: 8659857049

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.