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DR. ROBIN SUSAN O'MEARA M.D.
NPI 1821021551
Family Medicine in Grand Rapids, MI

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-0800(616) 267-0801 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2021, Apr 18, 2017 (2 updates tracked since 2017).

About Dr. Robin Susan O'meara M.d. NPPES

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

DR. ROBIN SUSAN O'MEARA M.D. (NPI 1821021551) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301106249) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2001).

NPPES Registry Identity

NPI1821021551
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBIN SUSAN O'MEARACredential: M.D.
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 267-0800
Fax(616) 267-0801
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2001
Enumeration DateJuly 8, 2006
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1821021551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 4301106249✔ Licensed in IL · 036110515
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
275 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Dr. Robin Susan Shaw M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 and accepts Medicare assignment

Dr. Robin Susan O'meara 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 ID9931160876
PECOS Enrollment IDI20140828001785
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 Reassignments

3

Medicare enrollment records show Robin O'meara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
0.2 mi
Internal Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1689499667 (616) 486-6790
Spectrum Health Hospitals
0.2 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377
Spectrum Health United
24 mi
Rural Health
1202 W OAK ST
Greenville, MI 48838
  • Reassigned Medicare billing, Michigan enrollment
  • 242 clinicians in this Medicare group
NPI 1538436852 (616) 754-2944

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

Areas of Expertise CMS Part B claims

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.
24 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

PHILLIP RICHTER PARAS M.D.
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MR. ETHAN J LACOURT PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
CAROLINE BUCKLEY MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
DR. ABEBA M BERHANE MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MAKAYLA DENAE OTTEMAN PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
HIEN LUU PSYD
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7401
HOPE ANN VIVIAN NP
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-2802
LAURA CLAIRE GOODWIN AGPCNP-BC
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900

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 Robin O'meara's NPI number?

The NPI number for Robin O'meara is 1821021551. It was assigned to this individual provider in the NPPES registry on July 8, 2006. The provider is also known as Dr. Robin Susan Shaw M.D..

Where is Robin O'meara located?

Robin O'meara practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-0800.

What is Robin O'meara's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robin O'meara enrolled in Medicare?

Yes. Robin O'meara 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.

Which organizations bill Medicare for Robin O'meara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robin O'meara reassigns Medicare benefits to 3 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health Hospitals (Grand Rapids, MI) and Spectrum Health United (Greenville, MI). Each 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 Robin O'meara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robin O'meara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Robin O'meara 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 Robin O'meara affiliated with any hospitals?

According to CMS data, Robin O'meara is affiliated with Spectrum Health United Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Robin O'meara was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.