BRENDAN O'NEILL (M.D.) – Dermatology Physician, NPI 1013170695

BRENDAN O'NEILL (M.D.) is a healthcare provider. based in Flagstaff, Arizona. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 50202 (CO). The NPI Number for BRENDAN O'NEILL (M.D.) is 1013170695

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BRENDAN O'NEILL (M.D.)
NPI
1013170695
Phone
(928) 774-5074
Address
1490 N TURQUOISE DR
Enumeration Date
3 July 2008
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9287445074242
Graduation Year
2007 (19 years ago)
PAC ID
9032380670
Group Practice PAC ID
8527951052
Professional Enrollment ID
I20140708000272
Address ID
AZ860011383FL1490XDRXX400

Contacts

Secure Messaging
boneill@naznew.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

367 DERMATOLOGY in AZ

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Provider Addresses for BRENDAN O'NEILL (M.D.)

  • 1490 N TURQUOISE DR

    FLAGSTAFF, AZ 860011383

    Phone: (928) 774-5074

    Fax: (928) 779-0884

    Type: Mailing

  • East Ironwood Square Drive, Haciendas del Lago, Scottsdale, Maricopa County, Arizona, 85258, United States

    SCOTTSDALE, AZ 852584582

    Phone: (480) 948-8400

    Fax: (480) 948-8401

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,512.

Total Amount is formed as General ($1,512) + Research ($0) + Ownership ($0) = $1,512.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($379).

Total Amount

$1,512

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-07-08

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
I20140708000272IDermatologyAZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity2,1191,433$0
17003Destruction of precancer skin growth, 2-14 growths1,606264$0
99213Established patient office or other outpatient visit, 20-29 minutes569440$0
17000Destruction of precancer skin growth, 1 growth408323$0
17110Destruction of skin growth, 1-14 growths291242$0
View full utilization report →

Insurance plans in this area (ZIP 86001)

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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: 8527951052View full group profile
NameSpecialtyState
D E R M A T O L O G YAZ
Physician AssistantAZ
Dermatology, Micrographic Dermatologic Surgery (Mds)AZ
-AZ
Dermatology, Micrographic Dermatologic Surgery (Mds)AZ
Physician AssistantCA
D E R M A T O L O G YUT
D E R M A T O L O G YAZ
Dermatology, Micrographic Dermatologic Surgery (Mds)AZ
Physician AssistantAZ

Reviews

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Frequently asked questions

Is there an official ID for BRENDAN O'NEILL (M.D.) in U.S. healthcare records?
The official identifier for BRENDAN O'NEILL (M.D.) is NPI 1013170695.
Is there an active status for BRENDAN O'NEILL (M.D.)?
For scheduling context, BRENDAN O'NEILL (M.D.) is shown as active in the registry.
What clinical focus is listed for BRENDAN O'NEILL (M.D.)?
At a glance, BRENDAN O'NEILL (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRENDAN O'NEILL (M.D.)?
Travel planning: use Flagstaff, Arizona as the reference point for BRENDAN O'NEILL (M.D.), then confirm.
Can I trust this NPI listing for BRENDAN O'NEILL (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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