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DR. TERRENCE JAMES O'MALIA D.O.
NPI 1972738532
Family Medicine in Ronan, MT

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
107 6TH AVE SW, RONAN, MT 59864(406) 676-4441(406) 676-0835 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Terrence James O'malia D.o. NPPES

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

DR. TERRENCE JAMES O'MALIA D.O. (NPI 1972738532) is an individual family medicine provider in Ronan, Montana, licensed in Montana (28105) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1972738532
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TERRENCE JAMES O'MALIACredential: D.O.
Location Address107 6TH AVE SWRonan, MT 59864-2634
Mailing AddressPo Box 130Dillingham, AK 99576-0130 · (907) 842-9217 · Fax (907) 842-9250
Phone(406) 676-4441
Fax(406) 676-0835
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateMay 26, 2009
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1972738532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 28105
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.
107 6TH AVE SW, Ronan, MT 59864
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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. Terrence James O'malia D.o. 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 ID6406022169
PECOS Enrollment IDI20140321001723, I20200930003203
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

5

Medicare enrollment records show Terrence O'malia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. John's Lutheran Hospital, Inc.
90 mi
Critical Access
209 HEALTH PARK DR
Libby, MT 59923
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Johns Lutheran Hospital Inc
  • 67 clinicians in this Medicare group
NPI 1952312050 (406) 283-7000
Libby Clinic
90 mi
Rural Health
211 E 2ND ST
Libby, MT 59923
  • Reassigned Medicare billing, Montana enrollment
  • 8 clinicians in this Medicare group
NPI 1306818034 (406) 293-8711
Cowlitz Indian Tribe
424 mi
Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
NPI 1538412630 (360) 353-9431
Jefferson Emergency Services, PLLC
1,830 mi
Emergency Medicine
200 HOSPITAL AVE
Jefferson, NC 28640
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 clinicians in this Medicare group
NPI 1720495336 (336) 846-0820
Hoke Emergency Group, PC
1,994 mi
Emergency Medicine
210 MEDICAL PAVILION DR
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 97 clinicians in this Medicare group
NPI 1003337528 (910) 904-8000

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
43 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271320
Location209 Health Park DrLibby, MT 59923 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59864 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 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.

MS. DIANE M GROGAN
Dietitian, Registered
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441
MS. KEVIN W ADAMS PT
Physical Therapist
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441
MS. KERI J THORN MD
Emergency Medicine
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441
DR. ZACHARY J HOVORKA D.O.
Surgery
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441
ST LUKES COMMUNITY HOSPITAL
Clinic/Center (Urgent Care)
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441
MR. BRUCE M MCMILLAN PT
Physical Therapist
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441
ALEXANDER J. NUTT M.D.
Emergency Medicine
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441
MARY EVE TOLBERT MA CCC SLPA
Speech-Language Pathologist
107 6TH AVE SW
RONAN, MT 59864
Lake County (406) 676-4441

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 Terrence O'malia's NPI number?

The NPI number for Terrence O'malia is 1972738532. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Terrence O'malia located?

Terrence O'malia practices at 107 6th Ave SW, Ronan, MT 59864. The listed phone number is (406) 676-4441.

What is Terrence O'malia's specialty?

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

Is Terrence O'malia enrolled in Medicare?

Yes. Terrence O'malia 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 Terrence O'malia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terrence O'malia reassigns Medicare benefits to 5 organizations: St. John's Lutheran Hospital, Inc. (Libby, MT), Libby Clinic (Libby, MT), Cowlitz Indian Tribe (Vancouver, WA), Jefferson Emergency Services, PLLC (Jefferson, NC) and Hoke Emergency Group, PC (Raeford, NC). 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 Terrence O'malia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terrence O'malia accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Terrence O'malia 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 Terrence O'malia affiliated with any hospitals?

According to CMS data, Terrence O'malia is affiliated with Logan Health Medical Center and Cabinet Peaks Medical Center.

When was this NPI record last updated?

The NPPES record for Terrence O'malia was last updated on April 26, 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.