DOUGLAS A O'BRIEN (M.D.) – Otolaryngology Physician, NPI 1245298629
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
392 OTOLARYNGOLOGY in MA
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Provider Addresses for DOUGLAS A O'BRIEN (M.D.)
100, Pearl Street, Brockton Heights, Brockton, Plymouth County, Massachusetts, 03201, United States
BROCKTON, MA 023011195
Phone: (508) 588-8034
Fax: (508) 588-5969
Mailing address matches the actual address.
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 $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Optinose US, Inc. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optinose US, Inc. | $22 |
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: 2011-06-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110606000474 | I | Otolaryngology | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 102 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 108 | 108 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 61 | 50 | $0 |
| 69210 | Removal of impacted ear wax | 45 | 40 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 33 | 29 | $0 |
Insurance plans in this area (ZIP 02301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| - | MA | |
| O T O L A R Y N G O L O G Y | NH | |
| Qualified Audiologist | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| Qualified Audiologist | SC |
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