What is Robert Malcolm's specialty?

Robert Malcolm (NPI 1831382670) is a Medicare-billing provider whose primary specialty is Gastroenterology in East Stroudsburg, PA.

Where does Robert Malcolm practice?

Robert Malcolm practices in East Stroudsburg, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1831382670.

How much does Medicare pay Robert Malcolm?

Robert Malcolm (NPI 1831382670) received approximately $128K in total Medicare Part B payments, serving 537 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1831382670

Robert MalcolmMD

PRACTICEST. LUKE'S PHYSICIAN GROUP, INC.See all providers at this practice →

GastroenterologyEast Stroudsburg, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

890

Unique beneficiaries

—

Total services

935

Distinct HCPCS

Medicare payment

$112K

Peer benchmark

Total Medicare services vs. 771 Gastroenterology providers in PA — above median (cohort median 585).

PRESCRIBING · PART D · 2024

Total Rx claims

974

Beneficiaries

—

Total drug cost

$56K

Distinct drugs

Brand share

7.4%

Top prescribed drugs

Pantoprazole Sodium534 claims

Omeprazole107 claims

Metoclopramide Hcl65 claims

Dicyclomine Hcl43 claims

Linaclotide34 claims

QUALITY · MIPS · 2024

Final MIPS score

97.1

Quality

82.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.93%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Robert Malcolm's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 82 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NPI 1285859744	289	1,380
Sandro Rodrigues Diagnostic Radiology · East Stroudsburg, PA	227	748
Javed Malik Diagnostic Radiology · East Stroudsburg, PA	215	726
NPI 1023194628	201	771
Charles Cohan Gastroenterology · Bartonsville, PA	178	1,001
Pocono Ambulatory Surgery Center Ltd Ambulatory Surgical Center · Stroudsburg, PA	167	312
Gordon Fried Cardiology · East Stroudsburg, PA	150	551
Karthik Sheka Cardiology · East Stroudsburg, PA	144	442
SFORZA, CAROLINA	138	337
Samer Alkhuja Pulmonary Disease · East Stroudsburg, PA	125	535
Anil Gupta Cardiology · East Stroudsburg, PA	118	395
TINSLEY, JOHN	115	255

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history