Christopher James Malcom, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

O-0744 Issued in ID

Practice address

4519 Enterprise Way
Caldwell, ID 83605-8055

Phone

(208) 455-7482

Fax

(208) 455-7538

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID, OR, TX, WY, MT, WA6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Diagnostic Radiology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teton Radiology Diagnostic a Series of Teton Group Enterprise 43 clinicians

Teton Radiology Caldwell 16 clinicians

Cache Valley Vein 36 clinicians

Teton Radiology Madison LLC 40 clinicians

Medical Imaging Associates of Idaho Falls Inc 66 clinicians

Memorial Hospital of Carbon County 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Sagewest Health Care Hospital, Riverton, WY, CCN 530008
• Star Valley Medical Center Hospital, Afton, WY, CCN 531313

Merit-based Incentive Payment System (MIPS)

Final score

78.36 of 100Reported as group

Quality

74.54

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.45 of 100Reported as group

Quality

92.91

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

74.39 of 100Reported as group

Quality

69.87

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.07 of 100Reported as group

Quality

86.33

Improvement activities

40

Cost

88.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 50)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531

  Diagnostic Radiology, ID, MT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Caldwell

  • Diagnostic Radiology Physician
  • Caldwell, ID
  • NPI 1336920420

  Diagnostic Radiology, ID, MT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Diagnostic a Series of Teton Group Enterprise

  • Body Imaging Physician
  • Idaho Falls, ID
  • NPI 1013085604

  Body Imaging, ID, MT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Madison LLC

  • Body Imaging Physician
  • Rexburg, ID
  • NPI 1407081060

  Body Imaging, ID, MT, WY

  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Carbon County

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1508900341

  WY

  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Carbon County

  • Critical Access Hospital
  • Rawlins, WY
  • NPI 1710298757

  WY

  Medicare reassignment Care Compare group NPD
• Cache Valley Vein

  • Vascular & Interventional Radiology Physician
  • Providence, UT
  • NPI 1831662311

  ID, MT, WY

  Medicare reassignment Care Compare group
• Boise Advanced Imaging PLLC

  • Vascular & Interventional Radiology Physician
  • Boise, ID
  • NPI 1013946235

  Diagnostic Radiology, ID

  Medicare reassignment NPD
• Teton Vascular Institute of Pocatello a Series of Teton Group

  • Vascular & Interventional Radiology Physician
  • Pocatello, ID
  • NPI 1508224379

  ID, MT, WY

  Medicare reassignment NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638

  WA

  Medicare reassignment NPD
• Shoshone-Paiute Tribes

  • Clinic/Center
  • Owyhee, NV
  • NPI 1528230224

  TX

  Medicare reassignment NPD
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ontario, OR
  • NPI 1295415032

  OR

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Idaho Health Services Inc

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209

  Hospital

  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362

  Hospital

  Care Compare affiliation
• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114

  Hospital

  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055

  Hospital

  Care Compare affiliation
• North Lincoln County Hospital District

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406

  Hospital

  Care Compare affiliation
• Riverton Memorial Hospital LLC

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1447402425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 ENTERPRISE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836058055",
            "telephone_number": "208-455-7482",
            "fax_number": "208-455-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 ENTERPRISE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836058055",
            "telephone_number": "208-455-7482",
            "fax_number": "208-455-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "O-0744",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "ID",
            "license": "O-0744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817783",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bin Yi Ma
• Katelyn Elyse Macdonald, PA-C
• Ana Maria Machuca, LCSW
• Shirlynn Maddox
• Leslie Maggard, LPC
• Melissa Ann Malmin
• Mana Resources LLC
• Krystal Lynn Manning
• Dana L Marasco, DPT
• Mariana Maritato, M.S. CCC-SLP

• All providers in Caldwell, ID
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.