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

Q: 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.

Q: What is Michael Obrien's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(515) 288-6097

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

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Other Identifiers 2

Medicaid0122135IA

Medicare UPINE45009IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Obrien reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Digestive Disease Center P.C.

Same address

Gastroenterology

1378 NW 124TH STREET, SUITE 200
Clive, IA 50325

Reassigned Medicare billing, Iowa enrollment
37 clinicians in this Medicare group

NPI 1275571747 (515) 288-6097

Iowa Endoscopy Center, Inc.

Same address

Ambulatory Surgical

1378 NW 124TH ST, SUITE 100
Clive, IA 50325

Reassigned Medicare billing, Iowa enrollment
3 clinicians in this Medicare group

NPI 1609968478 (515) 226-8180

Greene County Medical Center

30 mi

Rural Health

803 E MAIN ST
Panora, IA 50216

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1083654883 (Iowa)
28 clinicians in this Medicare group

NPI 1962436972 (641) 755-2121

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 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

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

34 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services29 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

26 services24 patients

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.

22 services22 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

20 services20 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

20 services17 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Greene County Medical Center

Critical Access Hospitals · Jefferson, IA

OwnershipGovernment - Local

CMS Certification Number161325

Location1000 West Lincoln WayJefferson, IA 50129 · Greene County

Emergency services

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.

DR. AMOL AGARWAL MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

MARIA JOAN STEELE ARNP

Nurse Practitioner

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

TERCIO LOPES MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

LORI L MATHIS ARNP

Nurse Practitioner

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

DR. THOMAS LYLE MARTIN DO

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

IOWA ENDOSCOPY CENTER, INC.

Clinic/Center (Ambulatory Surgical)

1378 NW 124TH ST, SUITE 100
CLIVE, IA 50325

Polk County (515) 226-8180

DR. NAGENDRA V MYNENI MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

RAJALAKSHMI V IYER MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

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.

Which organizations bill Medicare for Michael Obrien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Obrien reassigns Medicare benefits to 3 organizations: Iowa Digestive Disease Center P.C. (Clive, IA), Iowa Endoscopy Center, Inc. (Clive, IA) and Greene County Medical Center (Panora, IA). 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 Michael Obrien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Obrien accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer 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, Mercyone Des Moines Medical Center and Greene County 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.