MICHAEL WADE O'BRIEN (M.D.) – Neurological Surgery Physician, NPI 1386175701

MICHAEL WADE O'BRIEN (M.D.) is a healthcare provider. based in Waterbury, Connecticut. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 63919 (NY). The NPI Number for MICHAEL WADE O'BRIEN (M.D.) is 1386175701

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WADE O'BRIEN (M.D.)
NPI
1386175701
Phone
(203) 755-6677
Address
500 CHASE PKWY
Enumeration Date
27 March 2017
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
2037556677
Graduation Year
2017 (9 years ago)
PAC ID
2365787306
Group Practice PAC ID
8820087463
Professional Enrollment ID
I20240507002419
Address ID
CT067083346WA500XXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

101 NEUROSURGERY in CT

Provider Addresses for MICHAEL WADE O'BRIEN (M.D.)

  • 500 CHASE PKWY

    WATERBURY, CT 067083346

    Phone: (203) 755-6677

    Fax: (203) 573-9182

    Type: Mailing

  • 47, New Scotland Avenue, University Heights, Albany, Albany County, New York, 12208, United States

    DEPARTMENT OF NEUROSURGERY

    ALBANY, NY 122083412

    Phone: (518) 262-6679

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $911.

Total Amount is formed as General ($911) + Research ($0) + Ownership ($0) = $911.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Smith+Nephew, Inc. ($395).

Total Amount

$911

General + Research + Ownership

Payments

11

Total payment records

General Amount

$911

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2024-05-07

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
I20240507002419INeurosurgeryCTTBD

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 06708)

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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: 8820087463View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantCT
-CT
Emergency MedicineCT
Orthopedic Surgery, Hand SurgeryCT
Nurse PractitionerCT
-CT
-CT
N E U R O S U R G E R YCT
Physician AssistantCT

Reviews

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Frequently asked questions

What federal number belongs to MICHAEL WADE O'BRIEN (M.D.)?
The federal identifier for MICHAEL WADE O'BRIEN (M.D.) is NPI 1386175701.
Is MICHAEL WADE O'BRIEN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHAEL WADE O'BRIEN (M.D.) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for MICHAEL WADE O'BRIEN (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL WADE O'BRIEN (M.D.)?
The page summarizes Waterbury, Connecticut for MICHAEL WADE O'BRIEN (M.D.); expand the address list for detail.
How can I contact MICHAEL WADE O'BRIEN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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