GRAINNE M O'MALLEY MD
NPI 1407230501
Internal Medicine in West Lafayette, IN

Active since July 17, 2015PECOS EnrolledAccepts Medicare Assignment
97.08/100
CMS Quality Rating
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906(708) 714-4378 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2023, Mar 18, 2021, Aug 6, 2019 and 3 more (6 updates tracked since 2018).

About Grainne M O'malley Md NPPES

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

GRAINNE M O'MALLEY MD (NPI 1407230501) is an individual internal medicine provider in West Lafayette, Indiana, licensed in Indiana (01080931A) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407230501
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGRAINNE M O'MALLEYCredential: MD
Location Address253 SAGAMORE PKWY WWest Lafayette, IN 47906-1501
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 17, 2015
Last NPPES UpdateJuly 3, 20236 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
NPI 1407230501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IN · 01080931A Licensed in IL · 125067889
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

253 SAGAMORE PKWY W, West Lafayette, IN 47906

Other Identifiers 2

Medicaid300019370IN
Other000001199850Anthem

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

Grainne M O'malley 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 ID9931401262
PECOS Enrollment IDI20180904000241
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 8

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.
924 services613 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
97 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
62 services61 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
61 services60 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.
32 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151312
Location720 South Sixth StMonticello, IN 47960 · White County
Emergency services

Indiana University Health Frankfort Inc

Critical Access Hospitals · Frankfort, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151316
Location1300 S Jackson StFrankfort, IN 46041 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.1
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers38 claims82 services$5.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims16 services$0.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$52.92 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$17.83 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers25 claims85 services$1.95 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier22 claims22 services$10.47 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.

Radiology (Diagnostic Radiology)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Emergency Medicine
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner (Pediatrics)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner (Adult Health)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner (Adult Health)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Emergency Medicine
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner (Primary Care)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Internal Medicine
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

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 Grainne O'malley's NPI number?

The NPI number for Grainne O'malley is 1407230501. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Grainne O'malley located?

Grainne O'malley practices at 253 Sagamore Pkwy W, West Lafayette, IN 47906. The listed phone number is (708) 714-4378.

What is Grainne O'malley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Grainne O'malley enrolled in Medicare?

Yes. Grainne 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.

What insurance does Grainne O'malley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Grainne O'malley 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 Grainne O'malley affiliated with any hospitals?

According to CMS data, Grainne O'malley is affiliated with Indiana University Health, Franciscan Health Lafayette, Indiana University Health Arnett Hospital, Indiana University Health White Memorial Hospital and Indiana University Health Frankfort Inc.

When was this NPI record last updated?

The NPPES record for Grainne O'malley was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.