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DR. MARSHA M MALOOLEY OD
NPI 1811970353
Optometrist - Corneal and Contact Management in Highland Park, IL

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
85.34/100
CMS Quality Rating
806 CENTRAL AVE, STE 300, HIGHLAND PARK, IL 60035(847) 432-6010(847) 432-8241 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marsha M Malooley Od NPPES

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

DR. MARSHA M MALOOLEY OD (NPI 1811970353) is an individual corneal and contact management provider in Highland Park, Illinois, licensed in Illinois (046009451) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2002).

NPPES Registry Identity

NPI1811970353
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDR. MARSHA M MALOOLEYCredential: OD
Location Address806 CENTRAL AVE, STE 300Highland Park, IL 60035-5613
Mailing Address806 Central Ave, Ste 300Highland Park, IL 60035-5613 · (847) 432-6010 · Fax (847) 432-8241
Phone(847) 432-6010
Fax(847) 432-8241
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2002
Enumeration DateNovember 29, 2005
Last NPPES UpdateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1811970353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in IL · 046009451
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
806 CENTRAL AVE, Highland Park, IL 60035
Open in Google Maps ↗

Other Identifiers 5

Other01618233IL · Bcbs
Medicaid046009451IL
Other01618235IL · Bcbs
Other04915295IL · Bcbs
OtherP00187476IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Marsha M Malooley Od 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 ID547251076
PECOS Enrollment IDI20040521001090
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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
59 services59 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services38 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

85.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.74
Improvement Activities40
Cost52.81

Other Providers at the Same Location NPPES 18

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

RACHEL EPSTEIN M.D.
Ophthalmology (Cornea and External Diseases Specialist)
806 CENTRAL AVE
HIGHLAND PARK, IL 60035
Lake County (847) 432-6010
TIFFANY M ANDRZEJEWSKI OD
Optometrist (Corneal and Contact Management)
806 CENTRAL AVE, SUITE 300
HIGHLAND PARK, IL 60035
Lake County (847) 432-6010
FRANCIS ALAN BUGAJ DDS
Dentist
806 CENTRAL AVE, SUITE 201
HIGHLAND PARK, IL 60035
Lake County (847) 432-8080
LAKE SHORE GASTROENTEROLOGY
Internal Medicine (Gastroenterology)
806 CENTRAL AVE, SUITE 202
HIGHLAND PARK, IL 60035
Lake County (847) 433-9840
DR. KAREN S SABLE M D
Internal Medicine (Gastroenterology)
806 CENTRAL AVE, SUITE 202
HIGHLAND PARK, IL 60035
Lake County (847) 433-9840
JOSIE LEIGH TENORE M.D.
Family Medicine (Adult Medicine)
806 CENTRAL AVE, 203
HIGHLAND PARK, IL 60035
Lake County (847) 681-8821
CHICAGO CORNEA CONSULTANTS LTD
Durable Medical Equipment & Medical Supplies
806 CENTRAL AVE, STE 300
HIGHLAND PARK, IL 60035
Lake County (847) 432-6010
TRICIA HENEGHAN AU.D.
Audiologist
806 CENTRAL AVE, SUITE 103
HIGHLAND PARK, IL 60035
Lake County (847) 433-7617

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 Marsha Malooley's NPI number?

The NPI number for Marsha Malooley is 1811970353. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Marsha Malooley located?

Marsha Malooley practices at 806 Central Ave Ste 300, Highland Park, IL 60035. The listed phone number is (847) 432-6010.

What is Marsha Malooley's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Marsha Malooley enrolled in Medicare?

Yes. Marsha Malooley 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 Marsha Malooley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Marsha Malooley 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 Marsha Malooley was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.