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Robert Malone , RPT

Contractor • Madison, AL

Active NPI 1225136369 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

8331 Madison Blvd., Suite 500
Madison, AL 357582068

Call 2563252070 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8331 Madison Blvd.
Suite 500

Madison, AL 357582068

Telephone 2563252070
Fax 8445879612
Organization at the Same NPPES Address or Phone
Lystra Physical Therapy And Wellness, Llc Facility NPI 1407224728

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lystra Physical Therapy And Wellness Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2003

Medicare patients

54 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $46,257 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $34,594 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

23 years (graduated 2003)

CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Robert Malone has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Madison and Alabama

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Not enough clinicians listed under Contractor in Alabama have Medicare Part B data for 2024 to make a comparison.

Medicare-allowed amount

Not enough clinicians listed under Contractor in Alabama have Medicare Part B data for 2024 to make a comparison.

Paid by Medicare

Not enough clinicians listed under Contractor in Alabama have Medicare Part B data for 2024 to make a comparison.

2 active clinicians are listed under Contractor with a practice address in Madison, AL (59 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
545 35 $55.00 $20.25
97530 Therapy procedure using functional activities
455 52 $55.00 $28.81
97140 Therapy procedure using manual technique, each 15 minutes
428 30 $45.00 $18.68
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
224 31 $55.00 $26.25
97116 Therapy procedure for walking training, each 15 minutes
203 23 $52.92 $19.33
97161 Evaluation for physical therapy, typically 20 minutes
47 39 $120.00 $91.78

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-17
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

License # reported to NPPES AL 18209

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20051214000917

Enrollment State Jurisdiction

AL

PECOS Control ID

6103847421

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lystra Physical Therapy And Wellness Llc

8331 Madison Blvd, Madison, AL 357582075

Phone: 2563252070

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2018

Registered at 8331 MADISON BLVD., SUITE 500, MADISON, AL 357582068 (Tel: 2563252070)

📍
Updated Business Mailing Address January 29, 2018

Registered at 8331 MADISON BLVD., SUITE 500, MADISON, AL 357582068 (Tel: 2563252070)

👤
Provider Name / Credentials Updated January 29, 2018

Recorded as ROBERT MALONE, RPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Contractor (license number reported to NPPES: AL 18209)

âś…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 3525 SULLIVAN STREET, SUITE 1, MADISON, AL 35758 (Tel: 2564617775)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3525 SULLIVAN STREET, SUITE 1, MADISON, AL 35758 (Tel: 2564617775)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ROBERT MALONE, RPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Contractor (license number reported to NPPES: AL 18209)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225136369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: November 17, 2022
Sole Proprietor: Yes

Mailing Address

8331 Madison Blvd., Suite 500

Madison, AL 357582068

Phone: 2563252070

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.