RYAN BLAIR O'MALLEY – Diagnostic Radiology Physician, NPI 1174729131
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for RYAN BLAIR O'MALLEY
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
700 KMS PLACE
ANN ARBOR, MI 48108
Phone: (734) 936-2047
Type: Mailing
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI 481095030
Phone: (734) 936-4566
Type: Location
2355 HWY 36 W.
STE. 100
ROSEVILLE, MN 55113
Phone: (651) 292-2000
Type: Mailing
2355 HWY 36 W
STE. 100
ROSEVILLE, MN 55113
Phone: (651) 292-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130904000387 | I | Diagnostic Radiology | WA | TBD |
| I20220408002352 | I | Diagnostic Radiology | WI | TBD |
| I20220409000409 | I | Diagnostic Radiology | MN | TBD |
| I20221003001309 | I | Diagnostic Radiology | ND | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,681 | 28 | $0 |
| 71045 | X-ray of chest, 1 view | 531 | 517 | $0 |
| 71046 | X-ray of chest, 2 views | 527 | 512 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 372 | 365 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 211 | 210 | $0 |
Insurance plans in this area (ZIP 48108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 71250 | CT scan chest | 19 | 18 |
| DIAGNOSTIC RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 293 | 258 |
| DIAGNOSTIC RADIOLOGY | MI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 72 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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