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MIRIAM CAROLINE OMALLEY DMD
NPI 1154419042
Dentist - Oral and Maxillofacial Surgery in Kingston, PA

Active since October 10, 2006PECOS Enrolled
550 3RD AVE, STE 1, KINGSTON, PA 18704(570) 288-9070(570) 288-4201 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miriam Caroline Omalley Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRIAM CAROLINE OMALLEY DMD (NPI 1154419042) is an individual oral and maxillofacial surgery provider in Kingston, Pennsylvania, licensed in Pennsylvania (027676L) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154419042
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameMIRIAM CAROLINE OMALLEYCredential: DMD
Location Address550 3RD AVE, STE 1Kingston, PA 18704-5806
Mailing Address550 3rd Ave, Ste 1Kingston, PA 18704-5806 · (570) 288-9070 · Fax (570) 288-4201
Phone(570) 288-9070
Fax(570) 288-4201
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 10, 2013
✔ NPI 1154419042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · 027676L
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
550 3RD AVE, Kingston, PA 18704
Open in Google Maps ↗

Other Identifiers 3

Medicaid01696297PA
Medicare ID-Type Unspecified906003PA
Medicare UPINU66023

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Caroline Omalley Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Miriam Omalley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wyoming Valley Oral Surgery PLLC
Same address
Oral & Maxillofacial Surgery
550 3RD AVE STE 1
Kingston, PA 18704
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1831962323 (570) 288-9070
Callahan And Bergey Associates P.C.
Same address
Oral and Maxillofacial Surgery
550 3RD AVE, SUITE #1
Kingston, PA 18704
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1770557118 (570) 288-9070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID ALAN BERGEY D.D.S.01
Dentist (Oral and Maxillofacial Surgery)
550 3RD AVE, SUITE#1
KINGSTON, PA 18704
Luzerne County (570) 288-9070
DR. J. WARD FITZPATRICK D.D.S.
Dentist (Periodontics)
550 3RD AVE, SUITE 3
KINGSTON, PA 18704
Luzerne County (570) 283-3300
DR. MICHAEL DENNIS CALLAHAN D.D.S
Dentist (Oral and Maxillofacial Surgery)
550 3RD AVE, SUITE#1
KINGSTON, PA 18704
Luzerne County (570) 288-9070
CALLAHAN AND BERGEY ASSOCIATES P.C.
Dentist (Oral and Maxillofacial Surgery)
550 3RD AVE, SUITE #1
KINGSTON, PA 18704
Luzerne County (570) 288-9070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Omalley's NPI number?

The NPI number for Miriam Omalley is 1154419042. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Miriam Omalley located?

Miriam Omalley practices at 550 3rd Ave Ste 1, Kingston, PA 18704. The listed phone number is (570) 288-9070.

What is Miriam Omalley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Miriam Omalley enrolled in Medicare?

Yes. Miriam Omalley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miriam Omalley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Omalley reassigns Medicare benefits to 2 organizations: Wyoming Valley Oral Surgery PLLC (Kingston, PA) and Callahan And Bergey Associates P.C. (Kingston, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Omalley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miriam Omalley was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.