EILEEN M O'MALLEY (PA-C) – Physician Assistant, NPI 1104889062

EILEEN M O'MALLEY (PA-C) is a healthcare provider. based in Westlake, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50000660 (OH). The NPI Number for EILEEN M O'MALLEY (PA-C) is 1104889062

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN M O'MALLEY (PA-C)
NPI
1104889062
Phone
(440) 617-7027
Address
24723 DETROIT RD
Enumeration Date
10 April 2006
Last Update Date
14 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4406955000
Graduation Year
1989 (37 years ago)
PAC ID
9537174461
Group Practice PAC ID
0547552630
Professional Enrollment ID
I20060215000008
Address ID
OH440111390AV33300BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for EILEEN M O'MALLEY (PA-C)

  • Detroit Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    WESTLAKE, OH 441452526

    Phone: (440) 617-7027

    Fax: (440) 892-9083

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: Stryker Corporation ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$29
View all Open Payments →|Open Payments Risk Radar →

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: 2006-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060215000008IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44145)

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Provider's Procedures

EILEEN M O'MALLEY (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOH27447Repair of knee joint1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547552630View full group profile
NameSpecialtyState
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
-OH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

How is EILEEN M O'MALLEY (PA-C) identified in CMS data?
CMS-hosted NPPES data lists EILEEN M O'MALLEY (PA-C) with NPI 1104889062.
Is EILEEN M O'MALLEY (PA-C) still practicing?
EILEEN M O'MALLEY (PA-C) is currently listed as active in the public NPI registry.
What is EILEEN M O'MALLEY (PA-C)'s primary classification?
Physician Assistant is the headline specialty for EILEEN M O'MALLEY (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect EILEEN M O'MALLEY (PA-C) on a map?
Expect Westlake, Ohio as a primary anchor for EILEEN M O'MALLEY (PA-C) unless the record lists multiple sites.
Why does EILEEN M O'MALLEY (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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