Active NPI 1790715977 Individual Practitioner Male Practitioner

Dr. Eric S. Malicky , MD

Orthopaedic Surgery • Grafton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Malicky, MD is a certified Orthopaedic Surgery practicing in Grafton, WI. With approximately 34 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1992, Dr. Malicky delivers high-quality medical care to the local community at 975 PORT WASHINGTON RD.

Dr. Malicky is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

975 Port Washington Rd

Grafton, WI 530249201

Telephone 2623298300

Associated Practice Facility / Clinic

🏢 Aurora Medical Center Grafton Facility NPI 1124463815

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Grafton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +7.2 yrs vs City Avg

City Avg: 26.8 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Grafton, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malicky (34 Years) 34 Yrs

Grafton Specialty Average (26.8 Years) 26.8 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	80	12	$20.00	$6.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	67	$725.00	$165.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	66	$515.00	$120.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$940.00	$197.19
29515 Application of short leg splint from calf to foot	39	28	$510.00	$64.39
99213 Established patient office or other outpatient visit, typically 15 minutes	39	28	$350.00	$85.17
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	36	25	$60.00	$13.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$755.00	$156.25

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	97	79	$490.00	$118.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	74	13	$20.00	$6.57
29515 Application of short leg splint from calf to foot	61	36	$492.95	$67.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	59	$690.00	$165.54
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	51	33	$60.00	$13.59
99213 Established patient office or other outpatient visit, typically 15 minutes	45	30	$330.00	$80.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$895.00	$205.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$720.00	$149.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$875.00	$162.83

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	108	98	$465.00	$117.06
99213 Established patient office or other outpatient visit, typically 15 minutes	69	60	$313.00	$86.24
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	64	12	$20.00	$6.62
29515 Application of short leg splint from calf to foot	59	41	$465.00	$64.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$687.00	$153.77
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	51	38	$60.00	$11.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$665.47	$168.25
27687 Lengthening of calf muscle	11	11	$4850.00	$302.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	100	$295.00	$87.54
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	98	17	$20.00	$6.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	65	$434.93	$125.93
29515 Application of short leg splint from calf to foot	65	32	$442.00	$64.43
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	62	30	$60.00	$11.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$430.00	$108.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$645.00	$162.31
27606 Incision of achilles tendon under anesthesia	18	17	$2676.67	$138.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$210.00	$53.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$620.00	$161.57
27687 Lengthening of calf muscle	11	11	$5050.91	$327.48
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$442.00	$51.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	53	$281.00	$70.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	64	$416.00	$103.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$407.00	$103.73
29515 Application of short leg splint from calf to foot	58	37	$414.00	$61.23
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	52	35	$60.00	$10.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$200.00	$41.06
27606 Incision of achilles tendon under anesthesia	11	11	$2954.55	$122.14

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	128	120	$394.94	$102.11
99213 Established patient office or other outpatient visit, typically 15 minutes	108	83	$265.00	$70.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$389.00	$104.20
29515 Application of short leg splint from calf to foot	68	41	$392.00	$63.50
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	64	13	$19.00	$6.84
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	36	19	$60.00	$11.44
Q4037 Cast supplies, short leg cast, adult (11 years +), plaster	22	16	$75.00	$14.38
27606 Incision of achilles tendon under anesthesia	12	12	$2627.92	$122.89

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	174	160	$375.36	$101.17
99213 Established patient office or other outpatient visit, typically 15 minutes	134	111	$252.00	$67.77
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	110	20	$19.00	$6.96
29515 Application of short leg splint from calf to foot	80	49	$374.63	$68.62
Q4037 Cast supplies, short leg cast, adult (11 years +), plaster	39	28	$105.00	$16.29
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	35	30	$60.00	$11.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$370.00	$102.44
27606 Incision of achilles tendon under anesthesia	20	19	$2599.00	$136.39
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$399.00	$96.12
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$378.00	$48.13
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$260.00	$71.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	156	$240.00	$67.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	184	30	$18.00	$6.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	154	$356.66	$100.31
29515 Application of short leg splint from calf to foot	55	39	$346.00	$64.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$352.00	$100.58
Q4037 Cast supplies, short leg cast, adult (11 years +), plaster	28	25	$108.00	$14.94
20605 Aspiration and/or injection of medium joint or joint capsule	25	21	$356.00	$44.67
28285 Correction of toe joint deformity	23	11	$3753.00	$204.34
99221 Initial hospital inpatient care per day, typically 30 minutes	20	17	$377.35	$96.61
Q4045 Cast supplies, short leg splint, adult (11 years +), plaster	20	16	$61.00	$10.80
77002 Fluoroscopic guidance for needle placement	20	16	$788.00	$82.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$173.00	$41.64
27606 Incision of achilles tendon under anesthesia	15	14	$2289.07	$126.84
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	14	11	$155.00	$40.38
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$248.00	$71.46
28470 Closed treatment of broken foot bone	11	11	$1197.00	$209.21

Medical Specialties & State Licenses

CMS Verified: 2024-06-23

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 39848

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32437000 (WI)

Commercial Insurance / Payer ID Rr Medicare

P00452795 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Secondary Practice Locations

3003 W Good Hope Rd

Milwaukee, WI 532092042

Phone: 4143523100

Practice Associates & Co-Workers

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

2 Associated Practitioners

Victor Toney , PA-C

Physician Assistant

NPI 1639126998

Physician Assistant (Certified)

Dr. Stephen Kurtin , MD

Orthopaedic Surgery

NPI 1720175359

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 23, 2024

Registered at 975 PORT WASHINGTON RD, GRAFTON, WI 530249201 (Tel: 2623298300)

📍

Updated Business Mailing Address June 23, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

✅

NPI Profile Active December 27, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 27, 2010

Registered at 3003 W GOOD HOPE RD, MILWAUKEE, WI 532092042 (Tel: 4143523100)

📍

Updated Business Mailing Address December 27, 2010

Registered at 3003 W GOOD HOPE RD, MILWAUKEE, WI 532092042 (Tel: 4143523100)

👤

Provider Name / Credentials Updated December 27, 2010

Recorded as ERIC MALICKY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2010

Orthopaedic Surgery (License #39848 in WI)

🟢

Initial NPI Registration & Enumeration July 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790715977

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: June 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.