Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Millicent M Malcolm , APRN

Nurse Practitioner • Middletown, CT

Active NPI 1255418414 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

520 Saybrook Rd, Suite N100
Middletown, CT 064574700

Call 8603441801 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

520 Saybrook Rd
Suite N100

Middletown, CT 064574700

Telephone 8603441801
Fax 8603588657
Organization at the Same NPPES Address or Phone
Middlesex Urology, Pc. Facility NPI 1790873453

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: Mhs Primary Care, Inc.. 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

1999

Medicare patients

57 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 $39,362 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 $28,976 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.

30-day fills

1,986 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$88,144 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

27 years (graduated 1999)

CMS Doctors and Clinicians data list 1999 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)

Millicent Malcolm 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

Can order Medicare-covered services

CMS lists Millicent Malcolm as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

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

Guide: What ordering and referring status means

Compared with the same specialty in Middletown and Connecticut

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Middletown, CT (2024, 14 clinicians with data). Median for this group: 341. Middle half: 229 to 549.

More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Connecticut (2024, 367 clinicians with data). Median for this group: 223. Middle half: 84 to 516.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Middletown, CT (2024, 14 clinicians with data). Median for this group: $29,383. Middle half: $18,278 to $40,282.

A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Connecticut (2024, 367 clinicians with data). Median for this group: $18,379. Middle half: $7,683 to $37,900.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Middletown, CT (2024, 14 clinicians with data). Median for this group: $21,298. Middle half: $13,385 to $29,744.

A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Connecticut (2024, 367 clinicians with data). Median for this group: $13,944. Middle half: $5,432 to $27,913.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Middletown, CT (2024, 18 clinicians with data). Median for this group: 944. Middle half: 402 to 1,652.

More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Connecticut (2024, 410 clinicians with data). Median for this group: 395. Middle half: 90 to 1,370.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Middletown, CT (2024, 18 clinicians with data). Median for this group: $86,579. Middle half: $49,253 to $393,079.

A higher Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Connecticut (2024, 410 clinicians with data). Median for this group: $34,638. Middle half: $1,692 to $202,373.

25 active clinicians are listed under Nurse Practitioner with a practice address in Middletown, CT (922 in Connecticut).

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

Telehealth indicator in Middletown

12% of these 25 clinicians have the CMS telehealth indicator.

64% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
130 43 $264.00 $115.04
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
73 40 $155.00 $68.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
47 34 $126.00 $49.56
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
45 27 $367.50 $167.40
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
31 19 $103.00 $38.99
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
27 18 $116.00 $40.71
99496 Transitional care management services for problem of high complexity
21 16 $491.00 $257.81
99344 Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes
14 14 $378.00 $128.24

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.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 102 3,280 $1,144.38 13
Atorvastatin Calcium Atorvastatin Calcium 100 2,993 $1,064.30 12
Amlodipine Besylate Amlodipine Besylate 79 3,330 $690.26 13
Levothyroxine Sodium Levothyroxine Sodium 79 2,629 $680.24 11
Furosemide Furosemide 78 2,692 $325.01 14
Mirtazapine Mirtazapine 62 1,918 $1,272.05 11
Eliquis Apixaban 62 1,955 $39,774.91 11
Trazodone Hcl Trazodone Hcl 58 1,453 $567.60 12
Gabapentin Gabapentin 51 1,351 $379.82 —
Metoprolol Succinate Metoprolol Succinate 50 1,721 $919.36 —
Rosuvastatin Calcium Rosuvastatin Calcium 44 1,624 $553.66 —
Sertraline Hcl Sertraline Hcl 42 1,649 $551.17 —
Losartan Potassium Losartan Potassium 38 1,382 $443.41 —
Escitalopram Oxalate Escitalopram Oxalate 37 1,354 $354.17 —
Carvedilol Carvedilol 35 1,042 $168.96 —
Pantoprazole Sodium Pantoprazole Sodium 33 919 $422.85 —
Metformin Hcl Metformin Hcl 31 1,415 $273.64 —
Tramadol Hcl Tramadol Hcl 30 626 $200.31 —
Tamsulosin Hcl Tamsulosin Hcl 28 784 $652.06 —
Glipizide Er Glipizide 28 760 $240.62 —
Pregabalin Pregabalin 28 845 $617.88 —
Lisinopril Lisinopril 27 831 $192.52 —
Spironolactone Spironolactone 27 955 $145.48 —
Buspirone Hcl Buspirone Hcl 27 734 $309.52 —
Cephalexin Cephalexin 26 239 $304.64 19

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CT 002258

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES CT 002258
Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES CT 002258
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: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
4208296 (CT)
Medicaid ID
004208296 (CT)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20070323000363

Enrollment State Jurisdiction

CT

PECOS Control ID

2769586155

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Mhs Primary Care, Inc.

28 Crescent St, Middletown, CT 064573654

Mhs Primary Care, Inc.

520 Saybrook Rd, Middletown, CT 064574700

Mhs Primary Care, Inc.

270 Main St, Portland, CT 064801836

Phone: 8603585040

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. May Habboosh , MD

Family Medicine

NPI 1780621946

Doctor of Medicine (M.D.)

Dr. Marina Ionita , MD

Internal Medicine

NPI 1386639268

Doctor of Medicine (M.D.)

Dr. Larry Levine , MD

Family Medicine

NPI 1144257338

Doctor of Medicine (M.D.)

Dr. Kalpana Reddy , MD

Family Medicine

NPI 1609430354

Doctor of Medicine (M.D.)

Alexandra Schain , APRN

Nurse Practitioner - Adult Health

NPI 1578973905

Advanced Practice Registered Nurse

Dr. Michael Spada , MD

Internal Medicine

NPI 1336348887

Doctor of Medicine (M.D.)

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 April 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2017

Registered at 520 SAYBROOK RD, SUITE N100, MIDDLETOWN, CT 064574700 (Tel: 8603441801)

📍
Updated Business Mailing Address April 12, 2017

Registered at 28 CRESCENT ST, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤
Provider Name / Credentials Updated April 12, 2017

Recorded as MILLICENT MALCOLM, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Nurse Practitioner (license number reported to NPPES: CT 002258)

âś…
NPI Profile Active April 23, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 23, 2014

Registered at 520 SAYBROOK RD, SUITE N100, MIDDLETOWN, CT 064574700 (Tel: 8603441801)

📍
Business Mailing Address (Initial Record) April 23, 2014

Registered at 28 CRESCENT ST, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤
Provider Name / Credentials (Initial Record) April 23, 2014

Recorded as MILLICENT MALCOLM, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2014

Nurse Practitioner (license number reported to NPPES: CT 002258)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255418414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: April 12, 2017
Sole Proprietor: No

Other Nurse Practitioners in Middletown

All Nurse Practitioners in Middletown

Mailing Address

28 Crescent St

Middletown, CT 064573654

Phone: 8603584820

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.