KELSEY S O'CONNOR (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1730429275

KELSEY S O'CONNOR (D.O.) is a healthcare provider. based in Maywood, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. 125.064382 (IL). The NPI Number for KELSEY S O'CONNOR (D.O.) is 1730429275

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY S O'CONNOR (D.O.)
NPI
1730429275
Phone
(708) 216-4254
Address
2160 S 1st Ave
Enumeration Date
20 February 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
3304929200
Graduation Year
2013 (13 years ago)
PAC ID
2264733427
Group Practice PAC ID
9032197868
Professional Enrollment ID
I20170621002728
Address ID
OH447183603CA4760XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

596 PHYSICAL MEDICINE AND REHABILITATION in IL

Provider Addresses for KELSEY S O'CONNOR (D.O.)

  • 2160 S 1st Ave

    Dept of Orthopaedic Surgery & Rehabilitation

    Maywood, IL 601533328

    Phone: (708) 216-4254

    Type: Location

  • 4760 BELPAR ST NW

    CANTON, OH 447183603

    Phone: (330) 492-9200

    Type: Mailing

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 $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: SI-BONE, INC. ($99).

Total Amount

$99

General + Research + Ownership

Payments

1

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SI-BONE, INC.$99
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: 2017-06-21

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
I20170621002728IPhysical Medicine And RehabilitationOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes468281$0
62323Injection of substance into lower spine canal using imaging guidance319208$0
99213Established patient office or other outpatient visit, 20-29 minutes259188$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg17835$0
72100X-ray of lower and sacral spine, 2-3 views141138$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 9032197868View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeAL
Orthopedic SurgeryOH
Orthopedic SurgeryOH
Physician AssistantOH
Physician AssistantOH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is the standard ID for KELSEY S O'CONNOR (D.O.) in the U.S.?
In the U.S., KELSEY S O'CONNOR (D.O.) is identified by NPI 1730429275.
Is KELSEY S O'CONNOR (D.O.)'s NPI status active today?
Active status means KELSEY S O'CONNOR (D.O.)'s NPI record is not deactivated in the public file.
What type of care does KELSEY S O'CONNOR (D.O.) provide?
KELSEY S O'CONNOR (D.O.)'s profile centers on Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KELSEY S O'CONNOR (D.O.)?
KELSEY S O'CONNOR (D.O.) shows a connection to Maywood, Illinois in registry-derived data.
Can I export KELSEY S O'CONNOR (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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