NPI registry status
Active
2026 NPPES data Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician NPI 1437374683 MD
Verify on CMS → Marcus Malone, MD
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician in Vero Beach, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 96 in Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
12K
Medicare Part D claims · 937 beneficiaries · Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician avg: 3K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.1/100
▲ 8 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Marcus Malone, MD reported a CMS MIPS final score of 91.1/100 - above the 83.1 national average - and filed 11,836 Medicare Part D claims in 2023.
- 91.1/100
- MIPS score · +8 vs avg
- 12K
- Part D claims, 2023
- 93%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Marcus Malone, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Marcus Malone, MD sits
This provider among hospice and palliative medicine (physical medicine & rehabilitation) physician peers
Across the 15 hospice and palliative medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Marcus Malone, MD writes more Part D claims than 87% of them and scores higher on MIPS quality than 67% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hospice and palliative medicine (physical medicine & rehabilitation) physician peer from a representative sample of 14; the gold marker is Marcus Malone, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Marcus Malone, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Marcus Malone, MD?
High performer (top quartile)Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
11,836 278% vs specialty avg
MIPS final score
91.1/100 8 pts vs avg
Specialty distribution in Florida
How Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Marcus Malone, MD's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 91.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician) - 91.1/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Marcus Malone, MD appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 787 37TH ST STE E200, Vero Beach, FL, 32960, with a listed phone of (772) 978-7808. NPI 1437374683 was issued on 04/14/2007.
Medicare Part D records for calendar year 2023 show 11,836 prescription claims written by this provider, covering 937 Medicare beneficiaries and totaling roughly $800K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 64.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.1/100 for the 2023 performance year (Quality 70.5, Cost 75), compared with the national average of 83.1.
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 96 enrolled providers across 30 states and an average of 3,130 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1437374683 |
|---|---|
| Specialty | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/14/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.1286
Final Score
Avg: 83.1
70.467
Quality
74.9615
Cost
90
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Marcus Malone, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Marcus Malone MD LLC
Vero Beach, FL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Florida FLDOH 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Marcus Malone, MD. To verify Marcus Malone, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Marcus Malone, MD - brand share 7.0%
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician average
7% brand-name claims vs 93% generic, on 11,836 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
11,836
Total Claims
$800K
Total Drug Cost
937
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 12,219
- Total Day Supply
- 316,809
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $435K
- Generic Drug Cost
- $365K
- Opioid Claims
- 7,686 (64.9% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 2.37
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 178, 65-74: 383, 75-84: 263, 85+: 113
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marcus Malone, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone Hcl
Oxycodone Hcl
1,910 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
1,397 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
1,221 claims
- Tramadol Hcl
Tramadol Hcl
1,004 claims
- Gabapentin
Gabapentin
772 claims
- Morphine Sulfate Er 626
Morphine Sulfate Er
626 claims
- Oxycontin 347
Oxycontin
347 claims
- Tizanidine Hcl 310
Tizanidine Hcl
310 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 1,910 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,397 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 1,221 |
| Tramadol Hcl | 1,004 |
| Gabapentin | 772 |
| Morphine Sulfate Er Morphine Sulfate | 626 |
| Oxycontin Oxycodone Hcl | 347 |
| Tizanidine Hcl | 310 |
| Fentanyl | 290 |
| Cyclobenzaprine Hcl | 271 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician in FL →
All providers in Florida →
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Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Marcus Malone, MD fits within the Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
96
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
30
States with Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
3,130
Avg Claims per Provider
Marcus Malone, MD's 11,836 claims are above the specialty average of 3,130.
Nearby Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Malone.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Marcus Malone, MD's specialty? ▼
Marcus Malone, MD specializes in Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician and practices in Vero Beach, Florida. Credentials: MD.
How much does Marcus Malone, MD prescribe under Medicare Part D? ▼
In 2023, Marcus Malone, MD wrote 11,836 Medicare Part D claims totaling $800K in drug costs for 937 beneficiaries.
What is Marcus Malone, MD's Medicare quality score? ▼
Marcus Malone, MD has a CMS MIPS Final Score of 91.1/100 (Quality: 70.5, Cost: 75). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marcus Malone, MD located? ▼
Marcus Malone, MD is located at 787 37TH ST STE E200, Vero Beach, FL, 32960. Phone: (772) 978-7808.
What is Marcus Malone, MD's NPI number? ▼
Marcus Malone, MD's National Provider Identifier (NPI) is 1437374683, issued on 04/14/2007.
Does Marcus Malone, MD prescribe more brand-name or generic drugs? ▼
Marcus Malone, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $435K in brand drug costs.
Does Marcus Malone, MD prescribe opioids? ▼
Yes, Marcus Malone, MD had 7,686 opioid claims in 2023 with an opioid prescribing rate of 64.9%.
How many Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 96 Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician providers across 30 states in the US. The average Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician provider writes 3,130 Medicare Part D claims per year.
What drugs does Marcus Malone, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Marcus Malone, MD's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marcus Malone, MD accept Medicare? ▼
Marcus Malone, MD appears in CMS Medicare data with 11,836 Part D claims and 937 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marcus Malone, MD's credentials? ▼
Marcus Malone, MD's NPI is 1437374683 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.