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DOUGLAS O'MARA M.D.
NPI 1700803152
Pediatrics in Grand Rapids, MI

Active since July 15, 2006PECOS Enrolled
80 68TH ST SE, GRAND RAPIDS, MI 49548(616) 391-8242(616) 391-8317 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2021, Feb 24, 2021 (2 updates tracked since 2021).

About Douglas O'mara M.d. NPPES

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

DOUGLAS O'MARA M.D. (NPI 1700803152) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301084742) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700803152
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS O'MARACredential: M.D.
Location Address80 68TH ST SEGrand Rapids, MI 49548-6980
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 391-8242
Fax(616) 391-8317
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1700803152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301084742
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
80 68TH ST SE, Grand Rapids, MI 49548
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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 (PECOS)

Douglas O'mara M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Douglas O'mara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metropolitan Hospital
3.1 mi
Infusion Therapy
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1255807178 (616) 252-5202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

EMILY ELIZABETH ZECIC PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
HEATHER ELIZABETH CHAPPELL DNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SAMANTHA NICOLE LUBBERS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
DANA LOSS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
ASHLIE WILBON GYR FNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (877) 362-8362
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
CLAIRE MARGARET ESPARZA PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242

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 Douglas O'mara's NPI number?

The NPI number for Douglas O'mara is 1700803152. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Douglas O'mara located?

Douglas O'mara practices at 80 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 391-8242.

What is Douglas O'mara's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas O'mara enrolled in Medicare?

Yes. Douglas O'mara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas O'mara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas O'mara reassigns Medicare benefits to Metropolitan Hospital (Wyoming, 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 Douglas O'mara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas O'mara accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Douglas O'mara 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.

When was this NPI record last updated?

The NPPES record for Douglas O'mara was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.