NPI registry status
Active
2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1356377204 M.D.
Verify on CMS → Stephen Malone, M.D.
Orthopaedic Surgery of the Spine Physician in Dover, Delaware.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,773 in Orthopaedic Surgery of the Spine 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
224
Medicare Part D claims · 87 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Industry payments
$2.5K
36 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Stephen Malone, M.D. reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 224 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 224
- Part D claims, 2023
- 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.
Stephen Malone, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
0 0th percentile higher than 0% 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 Stephen Malone, M.D. sits
This provider among orthopaedic surgery of the spine physician peers
Across the 649 orthopaedic surgery of the spine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Stephen Malone, M.D. writes more Part D claims than 43% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-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 orthopaedic surgery of the spine physician peer from a representative sample of 60; the gold marker is Stephen Malone, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Stephen Malone, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Stephen Malone, M.D.?
Below national averagePrimary specialty
Orthopaedic Surgery of the Spine Physician
Medicare Part D claims
224 38% vs specialty avg
MIPS final score
0/100 83.1 pts vs avg
Specialty distribution in Delaware
How Orthopaedic Surgery of the Spine Physician compares to other specialties among Delaware providers
Medicare quality performance, MIPS
Stephen Malone, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average
- MIPS Final Score
- 0/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery of the Spine Physician) - 0/100 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).
Stephen Malone, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D. credentials at 260 BEISER BLVD, Dover, DE, 19904, with a listed phone of (302) 734-9700. NPI 1356377204 was issued on 06/23/2006.
Medicare Part D records for calendar year 2023 show 224 prescription claims written by this provider, covering 87 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 17.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.
Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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 | 1356377204 |
|---|---|
| Specialty | Orthopaedic Surgery of the Spine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/23/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Avg: 83.1
0
Quality
Reporting: Individual
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Stephen Malone, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.5K
Largest payer
Arthrex, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
224
Total Claims
$2K
Total Drug Cost
87
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 255
- Total Day Supply
- 4,446
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
- Opioid Claims
- 39 (17.4% rate)
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Stephen Malone, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
95 claims
- Cyclobenzaprine Hcl 27
Cyclobenzaprine Hcl
27 claims
- Hydrocodone-Acetam… 27
Hydrocodone-Acetaminophen
27 claims
- Methylprednisolone 17
Methylprednisolone
17 claims
| Drug | Claims |
|---|---|
| Gabapentin | 95 |
| Cyclobenzaprine Hcl | 27 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 27 |
| Methylprednisolone | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Orthopaedic Surgery of the Spine Physician in DE →
All providers in Delaware →
Compare specialties →
Orthopaedic Surgery of the Spine Physician Overview
How Stephen Malone, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.
1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider
Stephen Malone, M.D.'s 224 claims are below the specialty average of 362.
Nearby Orthopaedic Surgery of the Spine Physician Providers in Delaware
Other clinicians with the same primary specialty enrolled in Delaware, drawn from the same CMS NPPES roster as Malone.
Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →
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 Delaware medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery of the Spine 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Delaware
Frequently Asked Questions
What is Stephen Malone, M.D.'s specialty? ▼
Stephen Malone, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in Dover, Delaware. Credentials: M.D..
How much does Stephen Malone, M.D. prescribe under Medicare Part D? ▼
In 2023, Stephen Malone, M.D. wrote 224 Medicare Part D claims totaling $2K in drug costs for 87 beneficiaries.
What is Stephen Malone, M.D.'s Medicare quality score? ▼
Stephen Malone, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Stephen Malone, M.D. located? ▼
Stephen Malone, M.D. is located at 260 BEISER BLVD, Dover, DE, 19904. Phone: (302) 734-9700.
What is Stephen Malone, M.D.'s NPI number? ▼
Stephen Malone, M.D.'s National Provider Identifier (NPI) is 1356377204, issued on 06/23/2006.
Does Stephen Malone, M.D. prescribe opioids? ▼
Yes, Stephen Malone, M.D. had 39 opioid claims in 2023 with an opioid prescribing rate of 17.4%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US? ▼
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does Stephen Malone, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Stephen Malone, M.D.'s most frequently prescribed drugs include Gabapentin, Cyclobenzaprine Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Stephen Malone, M.D. accept Medicare? ▼
Stephen Malone, M.D. appears in CMS Medicare data with 224 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Stephen Malone, M.D.'s credentials? ▼
Stephen Malone, M.D.'s NPI is 1356377204 with credentials M.D.. 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
Compiled from official public sources by the PlainDoctor editorial team.