MADELYN ELIZABETH O'MALLEY
NPI 1386203040
Family Medicine in Springfield, IL

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 62704(217) 862-0800 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2023, Jul 10, 2019, Jun 6, 2019 (3 updates tracked since 2019).

About Madelyn Elizabeth O'malley NPPES

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

MADELYN ELIZABETH O'MALLEY (NPI 1386203040) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (125074562) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386203040
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADELYN ELIZABETH O'MALLEY
Location Address3132 OLD JACKSONVILLE RD STE 200Springfield, IL 62704-7401
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 862-0800 · Fax (217) 862-0202
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 6, 2019
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
NPI 1386203040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 125074562
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3132 OLD JACKSONVILLE RD STE 200, Springfield, IL 62704

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

Madelyn Elizabeth 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 ID6406180009
PECOS Enrollment IDI20220727001267
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 3

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 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.
124 services99 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.
36 services29 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Other Providers at the Same Location NPPES 15

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

Counselor (Professional)
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Pediatrics
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Counselor
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Physician Assistant
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Nurse Practitioner (Gerontology)
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Family Medicine
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Family Medicine
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704

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 Madelyn O'malley's NPI number?

The NPI number for Madelyn O'malley is 1386203040. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Madelyn O'malley located?

Madelyn O'malley practices at 3132 Old Jacksonville Rd Ste 200, Springfield, IL 62704. The listed phone number is (217) 862-0800.

What is Madelyn O'malley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madelyn O'malley enrolled in Medicare?

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

According to CMS data, Madelyn O'malley is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Madelyn O'malley was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.