MICHAEL J OMALLEY MD
NPI 1396976247
Orthopaedic Surgery in Pittsburgh, PA

Q: What is Michael Omalley's NPI number?

The NPI number for Michael Omalley is 1396976247. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Q: What is Michael Omalley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Omalley was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 27, 2009PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

5200 CENTRE AVE, SUITE 415, PITTSBURGH, PA 15232(412) 802-4139(412) 802-4120 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2020, Jan 14, 2016 (2 updates tracked since 2016).

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About Michael J Omalley Md NPPES

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

MICHAEL J OMALLEY MD (NPI 1396976247) is an individual orthopaedic surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD450815) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Temple University School Of Medicine (2009).

NPPES Registry Identity

NPI1396976247

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMICHAEL J OMALLEYCredential: MD

Location Address5200 CENTRE AVE, SUITE 415Pittsburgh, PA 15232-1300

Mailing Address5200 Centre Ave, Suite 415Pittsburgh, PA 15232-1300 · (412) 802-4139 · Fax (412) 802-4120

Phone(412) 802-4139

Fax(412) 802-4120

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2009

Enumeration DateJuly 27, 2009

Last NPPES UpdateJune 3, 20202 updates tracked since enumeration

NPPES CertifiedJune 3, 2020

✔ NPI 1396976247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in PA · MD450815✔ Licensed in NJ · 25MA09753900✔ Licensed in PA · MT194698

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

5200 CENTRE AVE, Pittsburgh, PA 15232

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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

Michael J Omalley 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 ID1759506645

PECOS Enrollment IDI20140709001534, I20160201000320

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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

408 services61 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.

338 services282 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

248 services139 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

117 services116 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

102 services98 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

96 services27 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

95 services94 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

84 services81 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

61 services58 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

58 services58 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.

55 services55 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.

41 services41 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

24 services16 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.

21 services21 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

Typical Medicare office-visit costs in the 15232 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.04%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier15 claims15 services$44.64 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 20

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

KRISHNA KANCHARLA

Internal Medicine (Clinical Cardiac Electrophysiology)

5200 CENTRE AVE, SUITE 710
PITTSBURGH, PA 15232

Allegheny County (412) 623-6889

EMILY YEE

Internal Medicine (Pulmonary Disease)

5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610
PITTSBURGH, PA 15232

Allegheny County (412) 621-1200

HITENDRA PATEL

Legal Medicine

5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232

Allegheny County (412) 621-7777

STEPHANIE RICHARDS

Specialist

5200 CENTRE AVE, SUITE 405
PITTSBURGH, PA 15232

Allegheny County (412) 623-2700

HARRY RAFKIN

Internal Medicine (Pulmonary Disease)

5200 CENTRE AVE, SUITE 610
PITTSBURGH, PA 15232

Allegheny County (412) 621-1200

DR. MARK RIZKO MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2121

TINA MUSAHL

Internal Medicine (Gastroenterology)

5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232

Allegheny County (412) 621-7777

JOEL BIGLEY

Urology

5200 CENTRE AVE, MEDICAL ARTS BUILDING, SUITE 209
PITTSBURGH, PA 15232

Allegheny County (412) 605-3000

DR. JANE MEI WEI MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

JAMES DENNIS O'TOOLE MD

Internal Medicine (Cardiovascular Disease)

5200 CENTRE AVE, STE 703
PITTSBURGH, PA 15232

Allegheny County (412) 687-8300

SHADYSIDE PSYCHOLOGICAL SERVICES

Psychologist (Clinical)

5200 CENTRE AVE, SUITE 514
PITTSBURGH, PA 15232

Allegheny County (412) 683-7396

XIANCHENG WU MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2458

KEMING YANG

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

DR. GERARDO ANTHONY MARRAZZO M.D.

Dermatology

5200 CENTRE AVE, SUITE 303
PITTSBURGH, PA 15232

Allegheny County (412) 681-9400

HASSAN ADAM ABARIKA ALHASSAN

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2458

EMILY ROSE NEAL MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

RICHARD PATRICK JACOBS M.D.

Urology

5200 CENTRE AVE, SUITE 205
PITTSBURGH, PA 15232

Allegheny County (412) 681-6632

DAVID G. BRODLAND M.D.

Dermatology (MOHS-Micrographic Surgery)

5200 CENTRE AVE, SUITE 303
PITTSBURGH, PA 15232

Allegheny County (412) 681-9480

DAVID ZORUB

Neurological Surgery

5200 CENTRE AVE, SUITE 617
PITTSBURGH, PA 15232

Allegheny County (412) 623-2972

LARS BJOERNEBO MD, PHD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

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 Omalley's NPI number?

The NPI number for Michael Omalley is 1396976247. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Michael Omalley located?

Michael Omalley practices at 5200 Centre Ave Suite 415, Pittsburgh, PA 15232. The listed phone number is (412) 802-4139.

What is Michael Omalley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Omalley enrolled in Medicare?

Yes. Michael Omalley 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 Michael Omalley affiliated with any hospitals?

According to CMS data, Michael Omalley is affiliated with Upmc Somerset, Upmc St Margaret, Upmc Passavant, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Michael Omalley was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.