Dr. James P. Malone, MD

  • Hershey, PA
  • Otolaryngologist
NPI1659367258PAC ID1153463815
Medicare services, 2024
515
Medicare patients, 2024
252
Part D claims, 2024
465
MIPS score, 2024
75
Hospital affiliations
5
Practice address
34 Northeast Dr, Hershey, PA 17033
Practice phone
Call (717) 763-7400
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Aop, Inc.

Hershey, Pennsylvania

See all 8 affiliations

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Dr. James P. Malone is an otolaryngologist in Hershey, Pennsylvania

Dr. Malone practices at Aop, Inc. in Hershey, Pennsylvania.

Dr. Malone's NPI, 1659367258, was assigned on September 20, 2005. Dr. Malone graduated from University of Pittsburgh School of Medicine in 1995. Dr. Malone holds Pennsylvania license MD063070L.

NPI and contact details
Medicare PAC ID
1153463815
NPI enumeration date
September 20, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(717) 763-7400
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
57
Medical school graduation
1995

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

Dr. James P. Malone practices at Aop, Inc. in Hershey, Pennsylvania

Dr. Malone's primary practice is Aop, Inc., at 34 Northeast Dr, Hershey, PA 17033 in Dauphin County. The practice phone is (717) 763-7400.

  • Aop, Inc.
    34 Northeast Dr, Hershey, PA 17033 · Dauphin CountyPhone(717) 763-7400

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. James P. Malone is affiliated with 7 sites of care and 1 medical group

Dr. Malone's primary practice is Aop, Inc. in Hershey, Pennsylvania. Dr. Malone is also affiliated with Penn State Health Milton S. Hershey Medical Center. The medical group on file is Associated Otolaryngologists of Pennsylvania. Dmand AI also links Dr. Malone to 4 more hospitals and 1 group practice or clinic, each named with a free account.

See all 8 affiliations for Dr. Malone

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

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

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Malone practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Aop, Inc.Available with a free account
+6 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. James P. Malone is one of 415 otolaryngologists in Pennsylvania

Otolaryngology is Dr. Malone's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Malone is licensed in Pennsylvania.

Specialties and state licenses

  • Otolaryngology, PennsylvaniaPrimaryLicense MD063070L · taxonomy 207Y00000X

Otolaryngologists near Dr. Malone

Counts of otolaryngologists 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 P. Malone billed Medicare for 515 services in 2024

CMS data shows 515 Medicare services from Dr. Malone across 11 procedure codes in 2024, for 252 Medicare patients. Medicare paid $44,879 for them. Every service was in an office.

Medicare services, 2024515
Medicare patients252
Paid by Medicare$44,879
Procedure codes11

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

  • 2023
  • 2024
Office and hospital visits
2023: 3212024: 2929%
Surgery
2023: 2192024: 18316%
Tests and treatments
2023: 122024: 40233%

Dr. Malone compared with the Pennsylvania median for otolaryngologists, 2024

  • Dr. Malone
  • Pennsylvania median
Medicare services
515vs 76032% below
Medicare patients
252vs 34026% below
Part D claims
311vs 21346% above

Medians across 386 otolaryngologists in Pennsylvania 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. James P. Malone treated 252 Medicare patients in 2024, average age 73

CMS counts 252 Medicare patients who saw Dr. Malone in 2024. The largest group is 65 to 74, with 154 patients. 75% of them have high cholesterol, and 68% have high blood pressure. 6% are also on Medicaid. Their average risk score is 1.20, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Malone's median patient age at 67, with 53% women.

Medicare patients, 2024252
Average age73
Average risk score1.20
Also on Medicaid6%

Dr. Malone's Medicare patients by age, 2024

Dr. Malone's Medicare patients by sex, 2024

  • Women14558%
  • Men10742%

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

  1. High cholesterol75%
  2. High blood pressure68%
  3. Arthritis49%
  4. Anxiety28%
  5. Ischemic heart disease23%
  6. Mood disorders23%
  7. Diabetes22%
  8. Depression21%

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 67

Patient panel by sex, all payers

  • Women53%
  • Men46%

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

Dr. James P. Malone wrote 465 Medicare Part D claims in 2024

In 2024, Dr. Malone wrote 465 Medicare Part D claims for 186 patients. 93% of them were for generic drugs. CMS names the drug for 311 of them, across 13 drugs with 11 or more claims each, at $21,541 in total drug cost. In 2023, CMS named 324 claims across 13 drugs.

Part D claims, 2024465
Drugs named by CMS13
Total drug cost$21,541
Part D patients186

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

  • Generic434 claims93%
  • Brand-name and other31 claims7%

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

  • Opioids11%53 of 465 claims
  • Antibiotics15%72 of 465 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: 3242024: 3114%

Drugs named by CMS: 13 in 2024, 13 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. James P. Malone scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 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
MIPS final score, 2024
75 of 100

Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)

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

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Dr. James P. Malone received $4,876 in industry payments from 2016 to 2025

CMS Open Payments shows 89 general payments to Dr. Malone from 17 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 40% of the total. Intuitive Surgical, Inc. paid the most, $1,801.

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

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

$4.9Kin total
  • Food and beverage$1,94940%
  • Charitable contributions$1,24025%
  • Travel and lodging$93719%
  • Education$75015%

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 P. Malone graduated from University of Pittsburgh School of Medicine

Dr. Malone graduated from University of Pittsburgh School of Medicine in 1995.

  1. Medical schoolUniversity of Pittsburgh School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. James P. 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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand 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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile 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 P. 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. James P. Malone's NPI number?

Dr. James P. Malone's NPI number is 1659367258. It was assigned on September 20, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. James P. Malone?

Dr. James P. Malone is an otolaryngologist in Hershey, Pennsylvania. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. James P. Malone practice?

Dr. Malone practices at 34 Northeast Dr, Hershey, PA 17033. Dr. Malone's primary practice is Aop, Inc. in Hershey, Pennsylvania. Dmand AI also links Dr. Malone to 4 hospitals and 1 group practice or clinic.

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

The practice phone on file for Dr. Malone is (717) 763-7400.

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

Dr. Malone holds Pennsylvania license MD063070L.

Which hospitals is Dr. James P. Malone affiliated with?

Dr. Malone is affiliated with Penn State Health Milton S. Hershey Medical Center. Dmand AI links Dr. Malone to 4 more hospitals.

What medical group is Dr. James P. Malone part of?

Dr. Malone is linked to Associated Otolaryngologists of Pennsylvania.

Does Dr. James P. Malone accept Medicare?

Yes. CMS data shows Dr. Malone billed Medicare for 515 services in 2024, and Dr. Malone accepts Medicare assignment.

What is Dr. James P. Malone's MIPS score?

Dr. Malone's MIPS final score for performance year 2024 is 75 out of 100, reported individually.

How many Medicare patients does Dr. James P. Malone see?

CMS counts 252 Medicare patients who saw Dr. Malone in 2024, with an average age of 73.

Show 5 more questionsShow fewer questions

What services does Dr. James P. Malone bill to Medicare?

In 2024, Dr. Malone's most billed Medicare services were office visit, established patient (99214), surgery: lungs and airway (31575) and office visit, established patient (99213).

Where did Dr. James P. Malone go to medical school?

Dr. Malone graduated from University of Pittsburgh School of Medicine in 1995.

What drugs does Dr. James P. Malone prescribe most?

In 2024 Medicare Part D data, Dr. Malone's most prescribed drugs by claims were Pantoprazole Sodium, Famotidine and Levothyroxine Sodium.

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

CMS Open Payments shows $4,876 in general payments to Dr. Malone from 17 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.

How long has Dr. James P. Malone been practicing?

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

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