Dr. Douglas Malcolm, MD

  • Stockton, CA
  • Emergency medicine physician
NPI1053345868PAC ID2961393574
Medicare services, 2024
911
Medicare patients, 2024
683
Part D claims, 2024
384
MIPS score, 2024
97
Hospital affiliations
2
Practice address
1800 N California St, Stockton, CA 95204
Practice phone
Call (209) 943-2000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Dignity Health - St. Joseph's Medical Center

Hospital · Stockton, California

See all 13 affiliations

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Dr. Douglas Malcolm is an emergency medicine physician in Stockton, California

Dr. Malcolm practices at Dignity Health - St. Joseph's Medical Center in Stockton, California, part of CommonSpirit Health.

Dr. Malcolm's NPI, 1053345868, was assigned on July 10, 2006. Dr. Malcolm graduated from Spencer Fox Eccles School of Medicine in 1986. Dr. Malcolm holds California license G61262.

NPI and contact details
Medicare PAC ID
2961393574
NPI enumeration date
July 10, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(209) 943-2000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
66
Medical school graduation
1986

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Douglas Malcolm practices at Dignity Health - St. Joseph's Medical Center in Stockton, California

Dr. Malcolm's primary practice is Dignity Health - St. Joseph's Medical Center, at 1800 N California St, Stockton, CA 95204 in San Joaquin County. The practice phone is (209) 943-2000.

Source: Dmand AI Affiliation Data

Dr. Douglas Malcolm is affiliated with 2 sites of care and 11 medical groups

Dr. Malcolm's primary practice is Dignity Health - St. Joseph's Medical Center in Stockton, California, part of CommonSpirit Health. Dr. Malcolm is also affiliated with NorthBay Medical Center. The medical group on file is NorthBay Medical Center. Dmand AI also links Dr. Malcolm to 10 more medical groups, each named with a free account.

See all 13 affiliations for Dr. Malcolm

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Douglas Malcolm's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Malcolm practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Dignity Health - St. Joseph's Medical CenterAvailable with a free account
+1 more site and 10 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Douglas Malcolm is one of 7,423 emergency medicine physicians in California

Emergency medicine is Dr. Malcolm's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Malcolm is board certified in emergency medicine by the American Board of Emergency Medicine. Dmand AI has Dr. Malcolm's licenses on file in 8 states: California, Arizona, Texas, Oregon, Washington, Nevada, New York and Ohio.

Specialties and state licenses

  • Emergency medicine, CaliforniaPrimaryLicense G61262 · 1987 to 2026 · taxonomy 207P00000X
  • Arizona license2023 to 2026
  • Texas license1990 to 2026
  • Oregon license2011 to 2025
  • Washington licenseLicense MD61127791 · 2021 to 2025
  • Nevada license2017 to 2023
  • New York license2021 to 2023
  • Ohio license2021 to 2023

Emergency medicine physicians near Dr. Malcolm

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Douglas Malcolm billed Medicare for 911 services in 2024

CMS data shows 911 Medicare services from Dr. Malcolm across 5 procedure codes in 2024, for 683 Medicare patients. Medicare paid $93,691 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024911
Medicare patients683
Paid by Medicare$93,691
Procedure codes5

Dr. Malcolm's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 9702024: 72625%
Tests and treatments
2023: 2152024: 18514%

Dr. Malcolm compared with the California median for emergency medicine physicians, 2024

  • Dr. Malcolm
  • California median
Medicare services
911vs 2653.4 times
Medicare patients
683vs 2432.8 times
Part D claims
294vs 624.7 times

Medians across 7,079 emergency medicine physicians in California with Dmand AI profiles that report each measure.

Dr. Malcolm's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Malcolm

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Douglas Malcolm treated 683 Medicare patients in 2024, average age 71

CMS counts 683 Medicare patients who saw Dr. Malcolm in 2024. The largest group is 65 to 74, with 247 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 71% are also on Medicaid. Their average risk score is 2.84, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Malcolm's median patient age at 39, with 55% women.

Medicare patients, 2024683
Average age71
Average risk score2.84
Also on Medicaid71%

Dr. Malcolm's Medicare patients by age, 2024

Dr. Malcolm's Medicare patients by sex, 2024

  • Women37355%
  • Men31045%

Chronic conditions among Dr. Malcolm's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes54%
  4. Chronic kidney disease47%
  5. Arthritis43%
  6. Ischemic heart disease41%
  7. Heart failure40%
  8. Mood disorders40%

Share of Medicare patients with each condition. A patient can have several.

Dr. Malcolm's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 39

Patient panel by sex, all payers

  • Women55%
  • Men45%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Douglas Malcolm wrote 384 Medicare Part D claims in 2024

In 2024, Dr. Malcolm wrote 384 Medicare Part D claims for 234 patients. 96% of them were for generic drugs. CMS names the drug for 294 of them, across 12 drugs with 11 or more claims each, at $2,174 in total drug cost. In 2023, CMS named 309 claims across 14 drugs.

Part D claims, 2024384
Drugs named by CMS12
Total drug cost$2,174
Part D patients234

Dr. Malcolm's Part D claims by kind of drug, 2024

  • Generic368 claims96%
  • Brand-name16 claims4%

Dr. Malcolm's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Malcolm's Part D claims, 2024

  • Opioids7%28 of 384 claims
  • Antibiotics34%129 of 384 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 3092024: 2945%

Drugs named by CMS: 12 in 2024, 14 in 2023.

See all prescribing by Dr. Malcolm

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Douglas Malcolm scored 97 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Malcolm for performance year 2024, reported as part of a group. Dr. Malcolm accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Malcolm's MIPS scores, performance year 2024

  • 97of 100Final score
  • 90of 100Quality
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Douglas Malcolm received $19 in industry payments in 2024

CMS Open Payments shows 1 general payment to Dr. Malcolm from 1 drug or device company in 2024. Food and beverage make up the largest share, 100% of the total. Gilead Sciences, Inc. paid the most, $19.

Companies that paid Dr. Malcolm the most, 2024 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Malcolm

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Douglas Malcolm has 1 award and honors on record

Dmand AI lists 1 award for Dr. Malcolm.

Awards and honors for Dr. Malcolm

  1. Undated
    • Fellow

Source: Dmand AI Professional Profile Data

Dr. Douglas Malcolm graduated from Spencer Fox Eccles School of Medicine

Dr. Malcolm graduated from Spencer Fox Eccles School of Medicine in 1986.

  1. Medical schoolSpencer Fox Eccles School of Medicine
  2. Board certified in emergency medicineAmerican Board of Emergency Medicine

Source: Dmand AI Professional Profile Data

Dr. Douglas Malcolm accepts plans from 2 insurance carriers

Dr. Malcolm is in network with 2 carriers, including Aetna and CMS Medicare. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

  • Aetna
  • CMS Medicare

Plan types Dr. Malcolm accepts, by number of carriers

  1. Medicare2
  2. HMO1
  3. PPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Douglas Malcolm's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Douglas Malcolm

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Douglas Malcolm's NPI number?

Dr. Douglas Malcolm's NPI number is 1053345868. It was assigned on July 10, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Douglas Malcolm?

Dr. Douglas Malcolm is an emergency medicine physician in Stockton, California. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Douglas Malcolm practice?

Dr. Malcolm practices at 1800 N California St, Stockton, CA 95204. Dr. Malcolm's primary practice is Dignity Health - St. Joseph's Medical Center in Stockton, California, part of CommonSpirit Health. Dmand AI also links Dr. Malcolm to 10 medical groups.

What is Dr. Douglas Malcolm's office phone number?

The practice phone on file for Dr. Malcolm is (209) 943-2000.

What is Dr. Douglas Malcolm's medical license number?

Dr. Malcolm holds California license G61262, one of the licenses on file in 8 states.

Which states has Dr. Douglas Malcolm been licensed in?

Dmand AI has state licenses on file for Dr. Malcolm in California (1987 to 2026), Arizona (2023 to 2026), Texas (1990 to 2026), Oregon (2011 to 2025), Washington (2021 to 2025), Nevada (2017 to 2023), New York (2021 to 2023) and Ohio (2021 to 2023).

Which hospitals is Dr. Douglas Malcolm affiliated with?

Dr. Malcolm practices at Dignity Health - St. Joseph's Medical Center in Stockton, California. Dr. Malcolm is also affiliated with NorthBay Medical Center.

What medical group is Dr. Douglas Malcolm part of?

Dr. Malcolm is linked to NorthBay Medical Center. Dmand AI links Dr. Malcolm to 10 more medical groups.

Does Dr. Douglas Malcolm accept Medicare?

Yes. CMS data shows Dr. Malcolm billed Medicare for 911 services in 2024, and Dr. Malcolm accepts Medicare assignment.

What is Dr. Douglas Malcolm's MIPS score?

Dr. Malcolm's MIPS final score for performance year 2024 is 97 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Douglas Malcolm see?

CMS counts 683 Medicare patients who saw Dr. Malcolm in 2024, with an average age of 71.

Is Dr. Douglas Malcolm board certified?

Yes. Dr. Malcolm is board certified in emergency medicine by the American Board of Emergency Medicine.

What services does Dr. Douglas Malcolm bill to Medicare?

In 2024, Dr. Malcolm's most billed Medicare services were emergency department visit (99285), heart test or procedure (93010) and emergency department visit (99284).

Where did Dr. Douglas Malcolm go to medical school?

Dr. Malcolm graduated from Spencer Fox Eccles School of Medicine in 1986.

What drugs does Dr. Douglas Malcolm prescribe most?

In 2024 Medicare Part D data, Dr. Malcolm's most prescribed drugs by claims were Naproxen, Doxycycline Hyclate and Prednisone.

Has Dr. Douglas Malcolm received payments from drug or device companies?

CMS Open Payments shows $19 in general payments to Dr. Malcolm from 1 company from 2024 to 2024. The largest total came from Gilead Sciences, Inc.

How long has Dr. Douglas Malcolm been practicing?

Dr. Malcolm graduated from medical school in 1986, 40 years ago.

What insurance does Dr. Douglas Malcolm accept?

Dr. Malcolm is in network with 2 carriers, including Aetna and CMS Medicare. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

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