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SEAN O'MALLEY
NPI 1184284440
Surgery in Springfield, IL

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
900 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, Jun 19, 2019 (2 updates tracked since 2019).

About Sean O'malley NPPES

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

SEAN O'MALLEY (NPI 1184284440) is an individual surgery provider in Springfield, Illinois, licensed in Illinois (036169485) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (2019).

NPPES Registry Identity

NPI1184284440
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSEAN O'MALLEY
Location Address900 N 1ST STSpringfield, IL 62702-3749
Mailing AddressPo Box 19248Springfield, IL 62794-9248
Phone(217) 528-7541
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2019
Enumeration DateJune 19, 2019
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1184284440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036169485
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 N 1ST ST, Springfield, IL 62702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean O'malley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567796162
PECOS Enrollment IDI20240611000111
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

AMY N MANN APRN
Nurse Practitioner (Gerontology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
BETH A KILLAM CNM
Advanced Practice Midwife
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
DUSTIN STEHLING MD
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
BRANDON N. LANDSVERK PA
Physician Assistant
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
CHRISTI A. SABATKA PT
Physical Therapist
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
PETER M.C. HOFMANN M.D.
Colon & Rectal Surgery
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
NORA TAYLOR MACZURA MD
Obstetrics & Gynecology (Gynecologic Oncology)
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
KERRILYN HEWELL MD
Obstetrics & Gynecology
900 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541

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 Sean O'malley's NPI number?

The NPI number for Sean O'malley is 1184284440. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Sean O'malley located?

Sean O'malley practices at 900 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Sean O'malley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sean O'malley enrolled in Medicare?

Yes. Sean O'malley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sean O'malley affiliated with any hospitals?

According to CMS data, Sean O'malley is affiliated with St Johns Hospital, Memorial Medical Center, Taylorville Memorial Hospital and Carlinville Area Hospital.

When was this NPI record last updated?

The NPPES record for Sean O'malley was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.