Dr. Marcus J. Malone, MD

  • Vero Beach, FL
  • Physiatrist
NPI1437374683PAC ID3971695560
Medicare services, 2024
8,926
Medicare patients, 2024
1,357
Part D claims, 2024
10,999
MIPS score, 2024
92
Hospital affiliations
2
Practice address
1325 36th St Suite B, Vero Beach, FL 32960
Practice phone
Call (772) 778-3113
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Cleveland Clinic Surgery Center, Grove Place

Surgery Center - Medicare-Certified · Vero Beach, Florida

See all 8 affiliations

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Dr. Marcus J. Malone is a physiatrist in Vero Beach, Florida

Dr. Malone practices at Cleveland Clinic Surgery Center, Grove Place in Vero Beach, Florida.

Dr. Malone's NPI, 1437374683, was assigned on April 14, 2007. Dr. Malone graduated from St. Matthew's University School of Medicine in 2002. Dr. Malone holds Florida license ME99007.

NPI and contact details
Medicare PAC ID
3971695560
NPI enumeration date
April 14, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(772) 778-3113
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
50
Medical school graduation
2002

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

Dr. Marcus J. Malone practices at Cleveland Clinic Surgery Center, Grove Place in Vero Beach, Florida

Dr. Malone's primary practice is Cleveland Clinic Surgery Center, Grove Place, at 1325 36th St Suite B, Vero Beach, FL 32960. The practice phone is (772) 778-3113.

  • Cleveland Clinic Surgery Center, Grove Place
    1325 36th St Suite B, Vero Beach, FL 32960Phone(772) 778-3113

Source: Dmand AI Affiliation Data

Dr. Marcus J. Malone is affiliated with 7 sites of care and 1 medical group

Dr. Malone's primary practice is Cleveland Clinic Surgery Center, Grove Place in Vero Beach, Florida. Dr. Malone is also affiliated with Cleveland Clinic Indian River Hospital. The medical group on file is Vero Elite Rehab & Orthopedic Surgery. Dmand AI also links Dr. Malone to 1 more hospital, 2 home health agencies, 1 group practice or clinic and 1 skilled nursing facility, each named with a free account.

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. Marcus J. Malone's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Malone practices, 7 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Cleveland Clinic Surgery Center, Grove PlaceAvailable with a free account
+6 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Marcus J. Malone is one of 712 physiatrists in Florida

Physical medicine and rehabilitation is Dr. Malone's primary specialty in the NPI Registry, under taxonomy code 208100000X. Dr. Malone is board certified in physical medicine & rehabilitation by the American Board of Physical Medicine and Rehabilitation. Dmand AI has Dr. Malone's licenses on file in 3 states: Florida, Illinois and Virginia.

Specialties and state licenses

  • Physical medicine and rehabilitation, FloridaPrimaryLicense ME 99007 · 2007 to 2027 · taxonomy 208100000X
  • Illinois license2004 to 2007
  • Virginia license2002 to 2004

Clinical focus

Dmand AI lists arthritis, back pain injection, chronic skin ulcer, fibromyalgia and chronic pain, joint pain, lower back pain, mobility impairment and muscle pain, fibromyalgia, and limb pain among the conditions Dr. Malone treats.

Physiatrists near Dr. Malone

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

712physiatrists in Florida
8physiatrists in Vero Beach

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

Dr. Marcus J. Malone billed Medicare for 8,926 services in 2024

CMS data shows 8,926 Medicare services from Dr. Malone across 30 procedure codes in 2024, for 1,357 Medicare patients. Medicare paid $588,538 for them.

Medicare services, 20248,926
Medicare patients1,357
Paid by Medicare$588,538
Procedure codes30

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

  • 2023
  • 2024
Office and hospital visits
2023: 7,4082024: 6,14517%
Drugs given in the office
2023: 1,4182024: 1,17817%
Tests and treatments
2023: 3752024: 57353%
Surgery
2023: 5942024: 5389%
Imaging
2023: 2642024: 47480%
Other services
2023: 2242024: 1892%

Where Dr. Malone's Medicare services took place, 2024

  • In an office7,01779%
  • In a facility1,90921%

Dr. Malone compared with the Florida median for physiatrists, 2024

  • Dr. Malone
  • Florida median
Medicare services
8,926vs 1,3566.6 times
Medicare patients
1,357vs 2605.2 times
Part D claims
10,771vs 19655.0 times

Medians across 639 physiatrists in Florida 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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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Marcus J. Malone treated 1,357 Medicare patients in 2024, average age 77

CMS counts 1,357 Medicare patients who saw Dr. Malone in 2024. The largest group is 75 to 84, with 499 patients. 75% of them have arthritis, and 75% have high blood pressure. 23% are also on Medicaid. Their average risk score is 2.07, 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 73, with 56% women.

Medicare patients, 20241,357
Average age77
Average risk score2.07
Also on Medicaid23%

Dr. Malone's Medicare patients by age, 2024

Dr. Malone's Medicare patients by sex, 2024

  • Women78158%
  • Men57642%

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

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Mood disorders56%
  5. Anxiety51%
  6. Depression51%
  7. Ischemic heart disease45%
  8. Chronic kidney disease39%

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 73

Patient panel by sex, all payers

  • Women56%
  • Men43%

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

Dr. Marcus J. Malone wrote 10,999 Medicare Part D claims in 2024

In 2024, Dr. Malone wrote 10,999 Medicare Part D claims for 864 patients. 93% of them were for generic drugs. CMS names the drug for 10,771 of them, across 58 drugs with 11 or more claims each, at $637,627 in total drug cost. In 2023, CMS named 11,565 claims across 65 drugs.

Part D claims, 202410,999
Drugs named by CMS58
Total drug cost$637,627
Part D patients864

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

  • Generic10,250 claims93%
  • Brand-name737 claims7%
  • Other12 claims0%

Dr. Malone'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. Malone's Part D claims, 2024

  • Opioids65%7,159 of 10,999 claims
  • Antibiotics0%13 of 10,999 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: 11,5652024: 10,7717%

Drugs named by CMS: 58 in 2024, 65 in 2023.

See all prescribing by Dr. Malone

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. Marcus J. Malone scored 92 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 92 out of 100 for Dr. Malone for performance year 2024, reported individually. 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

  • 92of 100Final score
  • 77.1of 100Quality
  • 92of 100Promoting Interoperability
  • 40of 100Improvement Activities

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. Marcus J. Malone received $3,472 in industry payments from 2016 to 2025

CMS Open Payments shows 174 general payments to Dr. Malone from 38 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Purdue Pharma L.P. paid the most, $373.

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

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. Marcus J. Malone 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. Marcus J. Malone graduated from St. Matthew's University School of Medicine

Dr. Malone graduated from St. Matthew's University School of Medicine in 2002.

  1. Medical schoolSt. Matthew's University School of Medicine
  2. Board certified in physical medicine & rehabilitationAmerican Board of Physical Medicine and Rehabilitation

Source: Dmand AI Professional Profile Data

Dr. Marcus J. Malone accepts plans from 14 insurance carriers

Dr. Malone is in network with 14 carriers, including United Healthcare, Elevance and HCSC. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • United Healthcare
  • Elevance
  • HCSC
  • Aetna
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan
  • Regence Health Plans
  • +6 more carriersWith a free account

Plan types Dr. Malone accepts, by number of carriers

  1. PPO9
  2. HMO7
  3. Medicare5
  4. EPO3
  5. POS2

Source: Dmand AI Insurance Network Data

Sources for Dr. Marcus J. Malone'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. Marcus J. Malone

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. Marcus J. Malone's NPI number?

Dr. Marcus J. Malone's NPI number is 1437374683. It was assigned on April 14, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Marcus J. Malone?

Dr. Marcus J. Malone is a physiatrist in Vero Beach, Florida. The primary specialty in the NPI Registry is Physical Medicine & Rehabilitation Physician (taxonomy code 208100000X).

Where does Dr. Marcus J. Malone practice?

Dr. Malone practices at 1325 36th St Suite B, Vero Beach, FL 32960. Dr. Malone's primary practice is Cleveland Clinic Surgery Center, Grove Place in Vero Beach, Florida. Dmand AI also links Dr. Malone to 1 hospital, 2 home health agencies, 1 group practice or clinic and 1 skilled nursing facility.

What is Dr. Marcus J. Malone's office phone number?

The practice phone on file for Dr. Malone is (772) 778-3113.

What is Dr. Marcus J. Malone's medical license number?

Dr. Malone holds Florida license ME99007, one of the licenses on file in 3 states.

Which states has Dr. Marcus J. Malone been licensed in?

Dmand AI has state licenses on file for Dr. Malone in Florida (2007 to 2027), Illinois (2004 to 2007) and Virginia (2002 to 2004).

Which hospitals is Dr. Marcus J. Malone affiliated with?

Dr. Malone is affiliated with Cleveland Clinic Indian River Hospital. Dmand AI links Dr. Malone to 1 more hospital.

What medical group is Dr. Marcus J. Malone part of?

Dr. Malone is linked to Vero Elite Rehab & Orthopedic Surgery.

Does Dr. Marcus J. Malone accept Medicare?

Yes. CMS data shows Dr. Malone billed Medicare for 8,926 services in 2024, and Dr. Malone accepts Medicare assignment.

What is Dr. Marcus J. Malone's MIPS score?

Dr. Malone's MIPS final score for performance year 2024 is 92 out of 100, reported individually.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Marcus J. Malone see?

CMS counts 1,357 Medicare patients who saw Dr. Malone in 2024, with an average age of 77.

Is Dr. Marcus J. Malone board certified?

Yes. Dr. Malone is board certified in physical medicine & rehabilitation by the American Board of Physical Medicine and Rehabilitation.

What services does Dr. Marcus J. Malone bill to Medicare?

In 2024, Dr. Malone's most billed Medicare services were office visit, established patient (99214), care management and other visits (99426) and injected or infused drug (J3301).

Where did Dr. Marcus J. Malone go to medical school?

Dr. Malone graduated from St. Matthew's University School of Medicine in 2002.

What drugs does Dr. Marcus J. Malone prescribe most?

In 2024 Medicare Part D data, Dr. Malone's most prescribed drugs by claims were Oxycodone HCl, Hydrocodone-Acetaminophen and Oxycodone-Acetaminophen.

Has Dr. Marcus J. Malone received payments from drug or device companies?

CMS Open Payments shows $3,472 in general payments to Dr. Malone from 38 companies from 2016 to 2025. The largest total came from Purdue Pharma L.P.

How long has Dr. Marcus J. Malone been practicing?

Dr. Malone graduated from medical school in 2002, 24 years ago.

What insurance does Dr. Marcus J. Malone accept?

Dr. Malone is in network with 14 carriers, including United Healthcare, Elevance and HCSC. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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