DAVID M O'MALLEY M.D.
NPI 1609819424
Obstetrics & Gynecology - Gynecologic Oncology in Hilliard, OH

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
3651 RIDGE MILL DR, HILLIARD, OH 43026(614) 293-3873(614) 293-3078 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2025, Mar 4, 2025, Feb 24, 2021 (3 updates tracked since 2021).

About David M O'malley M.d. NPPES

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

DAVID M O'MALLEY M.D. (NPI 1609819424) is an individual gynecologic oncology provider in Hilliard, Ohio, licensed in Ohio (35.086622) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Wayne State University School Of Medicine (1998).

NPPES Registry Identity

NPI1609819424
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDAVID M O'MALLEYCredential: M.D.
Location Address3651 RIDGE MILL DRHilliard, OH 43026-7752
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3873 · Fax (614) 293-3078
Fax(614) 293-3078
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1998
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1609819424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in OH · 35.086622
Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

3651 RIDGE MILL DR, Hilliard, OH 43026

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

David M O'malley 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 ID6103850912
PECOS Enrollment IDI20050921000712
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 2024 & 2026 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.
275 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services37 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.
72 services66 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.
21 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$3.20 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.45 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers12 claims260 services$2.42 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
4 suppliers12 claims825 services$0.20 avg. paid by Medicare
Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier15 claims900 services$0.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$19.00 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 15

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

Nurse Practitioner (Women's Health)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Nurse Practitioner
3651 RIDGE MILL DR
HILLIARD, OH 43026
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Nurse Practitioner (Women's Health)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Pharmacist (Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Nurse Practitioner (Family)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609819424, enumerated as an "individual" on June 13, 2006.

The provider is located at 3651 RIDGE MILL DR HILLIARD, OH 43026 and the phone number is (614) 293-3873.

Obstetrics & Gynecology with taxonomy code 207VX0201X and a focus in Gynecologic Oncology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

David O'malley is affiliated with: OHIO STATE UNIVERSITY STATE HEALTH SYSTEM.