Kevin D. Malone, MD
Surgery Physician · Effingham, IL
Kevin D. Malone, MD is a surgery physician with a practice address in Effingham, Illinois, and NPI 1154331411, issued on Aug 9, 2006. Check the license (Illinois 036092819, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Kevin D. Malone
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 036092819 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1104 W Evergreen Ave, Effingham, IL 62401
- Phone
- (217) 347-2500
- Enumerated
- Aug 9, 2006
- Record last updated
- Sep 7, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (217) 342-9775
- Medicaid ID
- 036092819 IL
- Medicare enrollment
- Enrolled (PECOS I20100818000654); accepts Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 1991
- Entity
- Type 1 · individual
Also registered at 1104 W Evergreen Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- James Flaig, DOSurgery Physician1922018332
- Larry Welsh, LCPC, NCC, CCMHCProfessional Counselor1215659487
Verify Kevin D. Malone in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036092819Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
38% more Medicare Part D claims than the average surgery physician in 2024
203 Medicare Part D claims for 74 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 11 claims were for opioids.
Most prescribed
- Omeprazole140 claims
- Pantoprazole Sodium24 claims
- Amoxicillin-Clavulanate Potass15 claims
- Hydrocodone-Acetaminophen11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $40.81
1 payment: food and beverage; the largest payer was Edwards Lifesciences Corporation. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Sarah Bush Lincoln Health CenterMattoon, IL · Acute Care Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Surgery Physician providers in Illinois
There are 1,520 surgery physician records in Illinois.
Other surgery physician records in Illinois
- Douglas Aach, MDShiloh, IL1508817040
- Andrew Abadier, DOChicago, IL1124657473
- Shabirhusain Abadin, M.D.Chicago, IL1467712596
- Iftikharul Abbasy, MDOak Brook, IL1104814755
- Mahmoud Abd-El-Hafez, MDSpringfield, IL1710516943
- Samir Abdo, M.D.Eldorado, IL1578612982
- Chandrakumaran Abivarma, M.D.Park Ridge, IL1467135137
- Gerard Abood, M.DMaywood, IL1629237227
- Mohammad Abou El-Ezz, MDChicago, IL1790536746
- Gifty Abraham, M.D.Maywood, IL1881039279
Common questions
What is Kevin D. Malone, MD's NPI number?
Kevin D. Malone, MD's National Provider Identifier (NPI) is 1154331411, issued on Aug 9, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kevin D. Malone, MD located?
The NPPES record lists a practice address at 1104 W Evergreen Ave, Effingham, IL, 62401. Phone: (217) 347-2500. Providers update this record themselves, so call before visiting.
How can I verify Kevin D. Malone, MD's license?
NPPES lists Illinois license number 036092819, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kevin D. Malone, MD prescribe under Medicare Part D?
In 2024, Kevin D. Malone, MD had 203 Medicare Part D claims for 74 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Kevin D. Malone, MD's MIPS final score?
The 2023 MIPS final score is 91.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.