DR. KEVIN O'BRIEN (MD) – Family Medicine Physician, NPI 1003867771

DR. KEVIN O'BRIEN (MD) is a healthcare provider. based in Logansport, Indiana. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01036827 (IN). The NPI Number for DR. KEVIN O'BRIEN (MD) is 1003867771

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN O'BRIEN (MD)
NPI
1003867771
Phone
(574) 732-4609
Address
2413 High St
Enumeration Date
15 May 2006
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
6800853045
Group Practice PAC ID
4082506993
Professional Enrollment ID
I20060612000090
Address ID
IN469758931RO1430XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

Provider Addresses for DR. KEVIN O'BRIEN (MD)

  • 2413 High St

    Logansport, IN 469471637

    Phone: (574) 732-4609

    Fax: (574) 732-1049

    Type: Location

  • 1432 E 9TH ST

    ROCHESTER, IN 469758931

    Phone: (574) 223-4337

    Fax: (574) 406-9116

    Type: Location

  • 1400 E 9TH ST

    ROCHESTER, IN 469758937

    Phone: (574) 224-1048

    Fax: (574) 406-9116

    Type: Mailing

  • 2413, High Street Road, Logansport, Cass County, Indiana, 46947, United States

    LOGANSPORT, IN 469471637

    Phone: (574) 732-4609

    Fax: (574) 732-1049

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($139).

Total Amount

$229

General + Research + Ownership

Payments

6

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

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: 2006-06-12

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
I20060612000090IFamily PracticeINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5227$0
99239Hospital discharge day management, more than 30 minutes2421$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 46947)

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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: 4082506993View full group profile
NameSpecialtyState
Nurse PractitionerNM
Pediatric MedicineIN
Family PracticeIN
Nurse PractitionerIN
Family PracticeIN
Nurse PractitionerIN
Family PracticeIN
Orthopedic SurgeryIN
Nurse PractitionerIN
Physician AssistantIN

Reviews

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Frequently asked questions

How is DR. KEVIN O'BRIEN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN O'BRIEN (MD) with NPI 1003867771.
Can I rely on DR. KEVIN O'BRIEN (MD) being an active provider?
As of the registry snapshot, DR. KEVIN O'BRIEN (MD) is marked active.
What healthcare role does DR. KEVIN O'BRIEN (MD) hold?
Scheduling teams often label DR. KEVIN O'BRIEN (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. KEVIN O'BRIEN (MD) serve?
DR. KEVIN O'BRIEN (MD)'s listing highlights Logansport, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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