DR. MICHAEL D OBRIEN MD
NPI 1295793420
Internal Medicine - Gastroenterology in Clive, IA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
1378 NW 124TH ST, SUITE 200, CLIVE, IA 50325(515) 288-6097(515) 288-6099 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael D Obrien Md NPPES

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

DR. MICHAEL D OBRIEN MD (NPI 1295793420) is an individual gastroenterology provider in Clive, Iowa, licensed in Iowa (30471) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Tulane University School Of Medicine (1989).

NPPES Registry Identity

NPI1295793420
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MICHAEL D OBRIENCredential: MD
Location Address1378 NW 124TH ST, SUITE 200Clive, IA 50325-8151
Mailing Address1378 Nw 124th St, Suite 200Clive, IA 50325-8151 · (515) 288-6097 · Fax (515) 288-6099
Fax(515) 288-6099
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1989
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 6, 2015
NPI 1295793420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IA · 30471
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1378 NW 124TH ST, Clive, IA 50325

Other Identifiers 2

Medicaid0122135IA
Medicare UPINE45009IA

Accepted Insurance

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

Dr. Michael D Obrien 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 ID3072411073
PECOS Enrollment IDI20060417000136
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 13

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
215 services209 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
119 services119 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
107 services103 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
79 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services40 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
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 13

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

Internal Medicine (Gastroenterology)
1378 NW 124TH ST
CLIVE, IA 50325
Nurse Practitioner
1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325
Internal Medicine (Gastroenterology)
1378 NW 124TH ST
CLIVE, IA 50325
Nurse Practitioner
1378 NW 124TH ST
CLIVE, IA 50325
Internal Medicine (Gastroenterology)
1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325
Clinic/Center (Ambulatory Surgical)
1378 NW 124TH ST, SUITE 100
CLIVE, IA 50325
Internal Medicine (Gastroenterology)
1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325
Internal Medicine (Gastroenterology)
1378 NW 124TH ST
CLIVE, IA 50325

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 Michael Obrien's NPI number?

The NPI number for Michael Obrien is 1295793420. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Michael Obrien located?

Michael Obrien practices at 1378 NW 124th St Suite 200, Clive, IA 50325. The listed phone number is (515) 288-6097.

What is Michael Obrien's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Obrien enrolled in Medicare?

Yes. Michael Obrien 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.

What insurance does Michael Obrien accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Michael Obrien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Obrien affiliated with any hospitals?

According to CMS data, Michael Obrien is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi and Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Obrien was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.