BERT W O'MALLEY JR. MD
NPI 1265469167
Otolaryngology in Philadelphia, PA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3400 SPRUCE ST, 5 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104(215) 662-2777(215) 662-4613 Get Directions Write a Review

NPPES record last updated: August 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bert W O'malley Jr. Md NPPES

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

BERT W O'MALLEY JR. MD (NPI 1265469167) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD052827L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1988).

NPPES Registry Identity

NPI1265469167
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBERT W O'MALLEY JR.Credential: MD
Location Address3400 SPRUCE ST, 5 SILVERSTEIN BLDGPhiladelphia, PA 19104
Mailing Address3400 Spruce St, 5 White BuildingPhiladelphia, PA 19104-4206 · (215) 662-2777 · Fax (215) 662-4613
Fax(215) 662-4613
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1988
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 22, 2012
NPI 1265469167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in PA · MD052827L
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 3

Medicaid0014680400004PA
Medicare PIN191244PA
Medicare UPINF86921

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

Bert W O'malley Jr. Md 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 ID2860529047
PECOS Enrollment IDI20201203000146
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.

Hospital Affiliations CMS Care Compare

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 Bert O'malley's NPI number?

The NPI number for Bert O'malley is 1265469167. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Bert O'malley located?

Bert O'malley practices at 3400 Spruce St 5 Silverstein Bldg, Philadelphia, PA 19104. The listed phone number is (215) 662-2777.

What is Bert O'malley's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Bert O'malley enrolled in Medicare?

Yes. Bert 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 Bert O'malley affiliated with any hospitals?

According to CMS data, Bert O'malley is affiliated with University Of Maryland Medical Center.

When was this NPI record last updated?

The NPPES record for Bert O'malley was last updated on August 22, 2012. 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.