Medicare Enrolled

Dr. Marcus Malone, MD

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · Vero Beach, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
787 37TH ST STE E200, Vero Beach, FL 32960
7729787808
In practice since 2007 (18 years)
NPI: 1437374683 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Malone from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Malone? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Malone

Dr. Marcus Malone is a hospice and palliative medicine (physical medicine & rehabilitation) physician in Vero Beach, FL, with 18 years in practice. Based on federal Medicare data, Dr. Malone performed 10,238 Medicare services across 3,989 unique beneficiaries.

Between the years covered by Open Payments, Dr. Malone received a total of $2,087 from 34 pharmaceutical and/or device companies across 96 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in hospice and palliative medicine (physical medicine & rehabilitation) physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Malone is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice▲ Top 50% volume in FL$ $2,087 industry payments

Medicare Practice Summary

Medicare Utilization ↗
10,238
Medicare services
Top 50% in FL for hospice and palliative medicine (physical medicine & rehabilitation) physician
3,989
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~569 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)2,493$97$330
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1,449$31$141
Steroid injection (triamcinolone)1,418$1$7
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month1,401$51$191
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes623$111$303
Hospital follow-up visit, moderate complexity614$67$165
Office visit, established patient (20-29 min)360$66$210
Injection of trigger points, 1-2 muscles228$43$162
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)211$51$137
Injection of substance into lower spine canal using imaging guidance157$81$812
Needle measurement of electrical activity in arm or leg muscles, complete study154$80$242
Initial hospital admission, high complexity154$147$330
New patient office visit (45-59 min)124$131$400
Nursing facility visit, low complexity120$47$158
Joint injection, major joint109$54$185
Testing of autonomic (sympathetic) nervous system function99$100$512
X-ray of lower and sacral spine, 2-3 views89$32$152
X-ray of lower and sacral spine, minimum of 4 views65$40$216
Nerve conduction, 11-12 studies60$203$754
Hospital discharge day management, 30 minutes or less43$68$150
Needle measurement of electrical activity in arm or leg muscles, limited study38$50$149
Hip X-ray, 2-3 views28$37$135
Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month27$39$150
Injection of substance into middle or upper spine canal using imaging guidance26$86$812
Nerve conduction, 9-10 studies24$169$695
Shoulder X-ray, 2+ views22$27$115
X-ray of upper spine, 2-3 views17$31$140
X-ray of upper spine, 4-5 views17$44$194
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance15$58$591
Injection of lower or sacral spine facet joint using imaging guidance, single level14$95$633
X-ray of knee, 1-2 views14$28$120
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 and13$40$135
X-ray of middle spine, 2 views12$27$140
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2022 ↗
$2,087
Total received (2018-2022)
Avg $417/year across 5 years
1.0× state median for specialty
34
Companies
96
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,087 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2022
$115
2021
$343
2020
$483
2019
$580
2018
$567

Payments by company (2022)

Consulting
Speaking
Meals & Travel
Research
Medtronic USA, Inc.
$252
Collegium Pharmaceutical, Inc.
$244
Amgen Inc.
$240
Sunovion Pharmaceuticals Inc.
$179
Vertiflex, Inc.
$111
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$101
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$89
ARBOR PHARMACEUTICALS, INC.
$89
Medtronic, Inc.
$77
Nevro Corp.
$70
Purdue Pharma L.P.
$56
Boston Scientific Corporation
$53
BioDelivery Sciences International, Inc.
$52
Scilex Pharmaceuticals Inc.
$46
Radius Health, Inc.
$41
RedHill Biopharma Inc.
$38
Daiichi Sankyo Inc.
$32
Horizon Pharma plc
$31
Pernix Therapeutics Holdings, Inc.
$29
Pacira Pharmaceuticals Incorporated
$28
Kaleo, Inc.
$21
Novartis Pharmaceuticals Corporation
$20
Zyla Life Sciences
$19
Kowa Pharmaceuticals America, Inc.
$18
Assertio Therapeutics, Inc.
$18
Bioventus LLC
$17
AstraZeneca Pharmaceuticals LP
$17
Arbor Pharmaceuticals, Inc.
$17
Orthofix Medical, Inc.
$17
Merck Sharp & Dohme Corporation
$16
Eagle Pharmaceuticals, Inc.
$15
Horizon Therapeutics plc
$13
PFIZER INC.
$13
Forte Bio-Pharma LLC
$9
Top 3 companies account for 35.2% of total payments
Associated products mentioned in payments ›
AIMOVIG · APTIOM · BELBUCA · BUNAVAIL 2.1 mg 30-count box · DUEXIS · Durolane · EMBEDA · EVENITY · EXPAREL · Evzio · Gralise · Horizant · INTELLIS · KYNMOBI · LONHALA MAGNAIR · MOVANTIK · Morphabond ER · Movantik · NALOCET · OXYCONTIN · PENNSAID · Physio-Stim · Prolia · RELISTOR · RELISTOR ORAL · Ryanodex · SPECTRA WAVEWRITER · SYMPROIC · SYNCHROMED · Seglentis · Senza Spinal Cord Stimulation System · Superion ISS · Tymlos · UTIBRON NEOHALER · XTAMPZA · Xtampza · ZOHYDRO ER · ZORVOLEX · ZOSTAVAX · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $20 per 100 Medicare services performed
Looking for a hospice and palliative medicine (physical medicine & rehabilitation) physician in Vero Beach?
Compare hospice and palliative medicine (physical medicine & rehabilitation) physicians in the Vero Beach area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physicians within 10 mi
1
Per 100K population
0.6
County median income
$71,049
Nearest hospital
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2022
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Malone is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, with 18 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Malone experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Malone performed 2,493 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Malone receive payments from pharmaceutical companies?
Yes. Dr. Malone received a total of $2,087 from 34 companies across 96 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Malone's costs compare to other hospice and palliative medicine (physical medicine & rehabilitation) physicians in Vero Beach?
Dr. Malone's average Medicare payment per service is $62. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Malone) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →