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DR. PHILIP MICHAEL O'HALLORAN M.D.
NPI 1306939285
Clinic/Center - Urgent Care in Shelby Township, MI

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
51850 DEQUINDRE RD STE 3, SHELBY TOWNSHIP, MI 48316(586) 752-7256(586) 331-2323 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 10, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Philip Michael O'halloran M.d. NPPES

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

DR. PHILIP MICHAEL O'HALLORAN M.D. (NPI 1306939285) is an individual urgent care provider in Shelby Township, Michigan, licensed in Michigan (4301407335) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Ohio State University College Of Medicine (1986).

NPPES Registry Identity

NPI1306939285
Entity TypeIndividualMale
Primary Taxonomy261QU0200X
Provider Legal NameDR. PHILIP MICHAEL O'HALLORANCredential: M.D.
Location Address51850 DEQUINDRE RD STE 3Shelby Township, MI 48316-2806
Mailing Address1000 Joanne CtBloomfield, MI 48302-2417 · (248) 760-0522 · Fax (248) 282-5137
Phone(586) 752-7256
Fax(586) 331-2323
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1986
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1306939285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in MI · 4301407335
Also ListedEmergency MedicineTaxonomy 207P00000X · License 4301407335 (MI)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301407335 (MI)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 4301407335 (MI)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 4301407335 (MI)
51850 DEQUINDRE RD STE 3, Shelby Township, MI 48316
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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. Philip Michael O'halloran M.d. 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 ID4385728070
PECOS Enrollment IDI20080219000554
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 Reassignment

Medicare enrollment records show Philip O'halloran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orchardview Physicians, PLLC
Same address
Occupational Medicine
51850 DEQUINDRE RD STE 3
Shelby Township, MI 48316
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1245311398 (248) 760-0522

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 6

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.

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.
133 services84 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
83 services83 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services22 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
23 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48316 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.97 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ORCHARDVIEW PHYSICIANS, PLLC
Preventive Medicine (Occupational Medicine)
51850 DEQUINDRE RD STE 3
SHELBY TOWNSHIP, MI 48316
Macomb County (248) 760-0522

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 Philip O'halloran's NPI number?

The NPI number for Philip O'halloran is 1306939285. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Philip O'halloran located?

Philip O'halloran practices at 51850 Dequindre Rd Ste 3, Shelby Township, MI 48316. The listed phone number is (586) 752-7256.

What is Philip O'halloran's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Philip O'halloran enrolled in Medicare?

Yes. Philip O'halloran 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 organization bills Medicare for Philip O'halloran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip O'halloran reassigns Medicare benefits to Orchardview Physicians, PLLC (Shelby Township, MI). The 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 Philip O'halloran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip O'halloran accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Philip O'halloran 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 Philip O'halloran affiliated with any hospitals?

According to CMS data, Philip O'halloran is affiliated with Henry Ford Macomb Hospital.

When was this NPI record last updated?

The NPPES record for Philip O'halloran was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.