2026 NPPES data Specialist NPI 1225008832 MD
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TIMOTHY MALONE, MD

Specialist in COLUMBIA, South Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 124 beneficiaries · Specialist avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.3294/100
▲ 16 pts above national avg 83.1 · [object Object]
Industry payments
$801.22
39 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TIMOTHY MALONE, MD is a Specialist ([object Object]) practicing in COLUMBIA, South Carolina with a Medicare Part D prescribing footprint of 2K claims across 124 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 99.3294/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $801.22 across 39 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TIMOTHY MALONE, MD reported a CMS MIPS final score of 99.3294 out of 100, above the 83.1 national average, and filed 1,616 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TIMOTHY MALONE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/25/2006

NPI 1225008832

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,616 10% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

99.3294/100 16.229400000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Specialist compares to other specialties among South Carolina providers

South Carolina providers

Specialist share within South Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within South Carolina

Medicare quality performance — MIPS

TIMOTHY MALONE, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
99.3294/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 99.3294/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Specialist) — 99.3294/100 vs national avg 83.1

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).

TIMOTHY MALONE, MD is a Specialist provider practicing in COLUMBIA, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225008832. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TIMOTHY MALONE, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 1415 BLANDING ST, COLUMBIA, SC, 29201, with a listed phone of (803) 434-6771. NPI 1225008832 was issued on 01/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MALONE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,616 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $50K in drug spend, split 3% brand-name and 97% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.3294/100 for the 2023 performance year (Quality 90.5979), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1415 BLANDING ST
COLUMBIA, SC 29201

Provider Details

NPI 1225008832
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 01/25/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

99.3294
Final Score
Avg: 83.1
90.5979
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TIMOTHY 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.

THREE RIVERS BEHAVIORAL HEALTH LLC
WEST COLUMBIA, SC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 TIMOTHY MALONE, MD. Source: openpaymentsdata.cms.gov.

Total received

$801

Largest payer

Neurocrine Biosciences, 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.

Brand vs generic prescribing mix · Generic-heavy

TIMOTHY MALONE, MD — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 1,616 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.

1,616
Total Claims
$50K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,880
Total Day Supply
54,831
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$23K
Generic Drug Cost
$28K

Patient Demographics

Average Patient Age
61.3 years
Avg HCC Risk Score
1.19
Gender Split
61% female / 39% male
Age Distribution
<65: 58, 65-74: 55, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Clonazepam
138
Sertraline Hcl
107
Trazodone Hcl
106
Quetiapine Fumarate
99
Lorazepam
77
Fluoxetine Hcl
66
Risperidone
65
Buspirone Hcl
62
Alprazolam
55
Hydroxyzine Pamoate
47

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How TIMOTHY MALONE, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

TIMOTHY MALONE, MD's 1,616 claims are above the specialty average of 1,474.

Nearby Specialist Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as MALONE.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIMOTHY MALONE, MD's specialty?
TIMOTHY MALONE, MD specializes in Specialist and practices in COLUMBIA, South Carolina. Credentials: MD.
How much does TIMOTHY MALONE, MD prescribe under Medicare Part D?
In 2023, TIMOTHY MALONE, MD wrote 1,616 Medicare Part D claims totaling $50K in drug costs for 124 beneficiaries.
What is TIMOTHY MALONE, MD's Medicare quality score?
TIMOTHY MALONE, MD has a CMS MIPS Final Score of 99.3294/100 (Quality: 90.5979). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIMOTHY MALONE, MD located?
TIMOTHY MALONE, MD is located at 1415 BLANDING ST, COLUMBIA, SC, 29201. Phone: (803) 434-6771.
What is TIMOTHY MALONE, MD's NPI number?
TIMOTHY MALONE, MD's National Provider Identifier (NPI) is 1225008832, issued on 01/25/2006.
Does TIMOTHY MALONE, MD prescribe more brand-name or generic drugs?
TIMOTHY MALONE, MD's prescribing is 3% brand-name and 97% generic drugs by claim count, with $23K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does TIMOTHY MALONE, MD prescribe most often?
Based on 2023 Medicare Part D data, TIMOTHY MALONE, MD's most frequently prescribed drugs include Clonazepam, Sertraline Hcl, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIMOTHY MALONE, MD accept Medicare?
TIMOTHY MALONE, MD appears in CMS Medicare data with 1,616 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY MALONE, MD's credentials?
TIMOTHY MALONE, MD's NPI is 1225008832 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

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