ADRIAN R O'HAGAN (M.D.) – Pediatric Pulmonology Physician, NPI 1467413658

ADRIAN R O'HAGAN (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 43400 (KY). The NPI Number for ADRIAN R O'HAGAN (M.D.) is 1467413658

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
ADRIAN R O'HAGAN (M.D.)
NPI
1467413658
Phone
(502) 629-8830
Address
PO BOX 909
Enumeration Date
29 March 2006
Last Update Date
5 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025884940
Graduation Year
1992 (34 years ago)
PAC ID
2668441643
Group Practice PAC ID
3779917596
Professional Enrollment ID
I20100521000001
Address ID
KY402021713LO411XXSTXX410
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

523 PEDIATRIC MEDICINE in KY

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Provider Addresses for ADRIAN R O'HAGAN (M.D.)

  • 909, Fountain Avenue, Louisville, Jefferson County, Kentucky, 40222, United States

    LOUISVILLE, KY 402010909

    Phone: (502) 629-8830

    Fax: (502) 629-7540

    Type: Mailing

  • Gray Street Medical Building, 210, East Gray Street, Louisville, Jefferson County, Kentucky, 40202, United States

    STE 1000

    LOUISVILLE, KY 402023906

    Phone: (502) 629-8830

    Fax: (502) 629-7540

    Type: Location

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 $742.

Total Amount is formed as General ($742) + Research ($0) + Ownership ($0) = $742.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Baxter Healthcare ($341).

Total Amount

$742

General + Research + Ownership

Payments

11

Total payment records

General Amount

$742

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2010-05-21

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
I20100521000001IPediatric MedicineKYTBD

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 40201)

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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: 3779917596View full group profile
NameSpecialtyState
-IL
-KY
Cardiovascular Disease (Cardiology)IL
-KY
-KY
O B S T E T R I C S/ G Y N E C O L O G YKY
Diagnostic RadiologyIL
Pediatric MedicineIL
Endocrinology, Internal Medicine, Pediatric MedicineKY
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is there an official ID for ADRIAN R O'HAGAN (M.D.) in U.S. healthcare records?
The official identifier for ADRIAN R O'HAGAN (M.D.) is NPI 1467413658.
Active or inactive — what applies to ADRIAN R O'HAGAN (M.D.)?
You should see ADRIAN R O'HAGAN (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to ADRIAN R O'HAGAN (M.D.)?
ADRIAN R O'HAGAN (M.D.)'s specialty line reads Pediatric Pulmonology Physician. Clinical services aligned with this taxonomy classification.
Is ADRIAN R O'HAGAN (M.D.) located near Louisville?
ADRIAN R O'HAGAN (M.D.) currently maps to Louisville, Kentucky in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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