Dr. James Mathew Malone III, MD

  • Stanford, CA
  • Hematology (internal medicine) physician
NPI1457343113PAC ID7113910159
Medicare services, 2024
189
Medicare patients, 2024
98
Part D claims, 2019
121
Publications
17
MIPS score, 2024
89
Practice address
300 Pasteur Drive, Stanford, CA 94305
Practice phone
Call (650) 723-4000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Stanford Hospital at 300 Pasteur Drive

Hospital · Stanford, California

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Dr. James Mathew Malone III is a hematology (internal medicine) physician in Stanford, California

Dr. Malone practices at Stanford Hospital at 300 Pasteur Drive in Stanford, California, part of Stanford University.

Dr. Malone's NPI, 1457343113, was assigned on August 18, 2005. Dr. Malone graduated from UNMC in 1995. Dr. Malone holds California license A64765.

NPI and contact details
Medicare PAC ID
7113910159
NPI enumeration date
August 18, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(650) 723-4000
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
57
Medical school graduation
1995

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

Dr. James Mathew Malone III practices at Stanford Hospital at 300 Pasteur Drive in Stanford, California

Dr. Malone's primary practice is Stanford Hospital at 300 Pasteur Drive, at 300 Pasteur Drive, Stanford, CA 94305 in Santa Clara County. The practice phone is (650) 723-4000.

Source: Dmand AI Affiliation Data

Dr. James Mathew Malone III is affiliated with 4 sites of care and 4 medical groups

Dr. Malone's primary practice is Stanford Hospital at 300 Pasteur Drive in Stanford, California, part of Stanford University. The medical group on file is Stanford Health Care. Dmand AI also links Dr. Malone to 1 more hospital, 3 medical groups and 2 group practices and clinics, each named with a free account. Dr. Malone's employer is on file too: a hospital.

See all 8 affiliations for Dr. Malone

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

Dmand AI tracks the EHR system at Dr. James Mathew Malone III's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Malone practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Stanford Hospital at 300 Pasteur DriveAvailable with a free account
+3 more sites and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. James Mathew Malone III is one of 153 hematology (internal medicine) physicians in California

Internal medicine is Dr. Malone's primary specialty in the NPI Registry, under taxonomy code 207RH0000X. The record also lists hematology. Dr. Malone is board certified in hematology by the American Board of Internal Medicine. Dr. Malone is licensed in California.

Specialties and state licenses

  • Hematology (internal medicine), CaliforniaPrimaryLicense A64765 · 1998 to 2026 · taxonomy 207RH0000X

Clinical focus

Dmand AI lists chronic leukemia, lung cancer, lymphoma and multiple myeloma among the conditions Dr. Malone treats.

Hematology (internal medicine) physicians near Dr. Malone

Counts of hematology (internal 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. James Mathew Malone III billed Medicare for 189 services in 2024

CMS data shows 189 Medicare services from Dr. Malone across 6 procedure codes in 2024, for 98 Medicare patients. Medicare paid $13,888 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024189
Medicare patients98
Paid by Medicare$13,888
Procedure codes6

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

  • 2023
  • 2024
Office and hospital visits
2023: 902024: 189110%

Dr. Malone compared with the California median for hematology (internal medicine) physicians, 2024

  • Dr. Malone
  • California median
Medicare services
189vs 37349% below
Medicare patients
98vs 10910% below
Part D claims
121vs 9922% above

Medians across 139 hematology (internal medicine) physicians in California with Dmand AI profiles that report each measure.

Dr. Malone'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. Malone

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Malone and other hematology (internal medicine) physicians in California.

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

Dr. James Mathew Malone III treated 98 Medicare patients in 2024, average age 72

CMS counts 98 Medicare patients who saw Dr. Malone in 2024. The largest group is 75 to 84, with 38 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 33% are also on Medicaid. Their average risk score is 2.58, 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. Malone's median patient age at 45, with 65% women.

Medicare patients, 202498
Average age72
Average risk score2.58
Also on Medicaid33%

Dr. Malone's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Malone's Medicare patients by sex, 2024

  • Women4748%
  • Men5152%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease51%
  4. Chronic kidney disease48%
  5. Heart failure47%
  6. Atrial fibrillation44%
  7. Diabetes40%
  8. Arthritis37%

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

Dr. Malone's patients across all payers

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

Patient panel by age, all payers

Median age 45

Patient panel by sex, all payers

  • Women65%
  • Men34%

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

Dr. James Mathew Malone III wrote 121 Medicare Part D claims in 2019

In 2019, Dr. Malone wrote 121 Medicare Part D claims. They cover 6 drugs, with $398,341 in total drug cost. In 2018, CMS named 106 claims across 5 drugs.

Part D claims, 2019121
Drugs named by CMS6
Total drug cost$398,341

Dr. Malone's most prescribed drugs by claims, 2019

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

Part D claims for drugs CMS names, 2018 to 2019

  • 2018
  • 2019
Claims for drugs CMS names
2018: 1062019: 12114%

Drugs named by CMS: 6 in 2019, 5 in 2018.

See all prescribing by Dr. Malone

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

Dr. James Mathew Malone III scored 89 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Malone for performance year 2024, reported as part of a group. Dr. Malone accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Malone's MIPS scores, performance year 2024

  • 89of 100Final score
  • 87.1of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 70of 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

For MedTech and pharma teams

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Dr. James Mathew Malone III has 17 publications on record

Dmand AI links 17 papers to Dr. Malone. The most frequent topics are Amputation, Surgical, Cerebral Infarction and Leg. Dr. Malone has published most often in Am J Surg. Dr. Malone's most frequent co-authors are Kenneth E. Mcintyre, MD, Jeffrey Lawrence Ballard, MD and Jennifer Jocelyn Clark, MD.

Papers17

Topics Dr. Malone writes about most

  • Amputation, Surgical
  • Cerebral Infarction
  • Leg
  • Postoperative Complications
  • Wound Healing
  • Bacterial Infections
  • Blood Vessel Prosthesis
  • Carotid Artery Diseases

Dr. Malone's most frequent co-authors

Recent publications by Dr. Malone

See all 17 publications and co-authors

See who Dr. Malone researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Malone works with, so you can find a warm path to the right hematology (internal medicine) physicians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. James Mathew Malone III received $816 in industry payments from 2016 to 2025

CMS Open Payments shows 22 general payments to Dr. Malone from 12 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 70% of the total. Alexion Pharmaceuticals, Inc. paid the most, $355.

General payments to Dr. Malone by program year, 2016 to 2025

General payments to Dr. Malone by kind, 2016 to 2025

$816in total
  • Food and beverage$57070%
  • Honoraria$15018%
  • Education$9612%

Companies that paid Dr. Malone the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Malone

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

Dr. James Mathew Malone III has 1 award and honors on record

Dmand AI lists 1 award for Dr. Malone, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Malone

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. James Mathew Malone III graduated from UNMC

Dr. Malone graduated from UNMC in 1995.

  1. Medical schoolUNMC
  2. Board certified in hematologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. James Mathew Malone III accepts plans from 8 insurance carriers

Dr. Malone is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • United Healthcare
  • Blue Cross and Blue Shield of Kansas City
  • CMS Medicare

Plan types Dr. Malone accepts, by number of carriers

  1. Medicare6
  2. PPO5
  3. HMO3
  4. POS3
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. James Mathew Malone III'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)
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)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
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. James Mathew Malone III

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. James Mathew Malone III's NPI number?

Dr. James Mathew Malone III's NPI number is 1457343113. It was assigned on August 18, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. James Mathew Malone III?

Dr. James Mathew Malone III is a hematology (internal medicine) physician in Stanford, California. The primary specialty in the NPI Registry is Hematology (Internal Medicine) Physician (taxonomy code 207RH0000X).

Where does Dr. James Mathew Malone III practice?

Dr. Malone practices at 300 Pasteur Drive, Stanford, CA 94305. Dr. Malone's primary practice is Stanford Hospital at 300 Pasteur Drive in Stanford, California, part of Stanford University. Dmand AI also links Dr. Malone to 1 hospital, 3 medical groups and 2 group practices and clinics.

What is Dr. James Mathew Malone III's office phone number?

The practice phone on file for Dr. Malone is (650) 723-4000.

What is Dr. James Mathew Malone III's medical license number?

Dr. Malone holds California license A64765.

Which hospitals is Dr. James Mathew Malone III affiliated with?

Dr. Malone practices at Stanford Hospital at 300 Pasteur Drive in Stanford, California. Dmand AI links Dr. Malone to 1 more hospital.

What medical group is Dr. James Mathew Malone III part of?

Dr. Malone is linked to Stanford Health Care. Dmand AI links Dr. Malone to 3 more medical groups.

Does Dr. James Mathew Malone III accept Medicare?

Yes. CMS data shows Dr. Malone billed Medicare for 189 services in 2024, and Dr. Malone accepts Medicare assignment.

What is Dr. James Mathew Malone III's MIPS score?

Dr. Malone's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.

How many Medicare patients does Dr. James Mathew Malone III see?

CMS counts 98 Medicare patients who saw Dr. Malone in 2024, with an average age of 72.

Show 9 more questionsShow fewer questions

Is Dr. James Mathew Malone III board certified?

Yes. Dr. Malone is board certified in hematology by the American Board of Internal Medicine.

What services does Dr. James Mathew Malone III bill to Medicare?

In 2024, Dr. Malone's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99231) and hospital inpatient care (99233).

Where did Dr. James Mathew Malone III go to medical school?

Dr. Malone graduated from UNMC in 1995.

What drugs does Dr. James Mathew Malone III prescribe most?

In 2019 Medicare Part D data, Dr. Malone's most prescribed drugs by claims were Imbruvica, Prednisone and Azacitidine.

Has Dr. James Mathew Malone III received payments from drug or device companies?

CMS Open Payments shows $816 in general payments to Dr. Malone from 12 companies from 2016 to 2025. The largest total came from Alexion Pharmaceuticals, Inc.

How long has Dr. James Mathew Malone III been practicing?

Dr. Malone graduated from medical school in 1995, 31 years ago.

Does Dr. James Mathew Malone III do research?

Dmand AI links 17 publications to Dr. Malone.

Who does Dr. James Mathew Malone III publish with?

Dr. Malone's most frequent co-authors are Kenneth E. Mcintyre, MD (3 shared papers), Jeffrey Lawrence Ballard, MD (1 shared paper) and Jennifer Jocelyn Clark, MD (1 shared paper).

What insurance does Dr. James Mathew Malone III accept?

Dr. Malone is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

Selling to internal medicine practices?

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