BREELIN DAVENPORT O'HARA (PA-C) – Physician Assistant, NPI 1619393246
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,131 PHYSICIAN ASSISTANT in MA
Provider Addresses for BREELIN DAVENPORT O'HARA (PA-C)
55 Fogg Rd
South Weymouth, MA 021902432
Phone: (607) 437-9362
Type: Location
75 FRANCIS ST
BOSTON, MA 021156110
Phone: (617) 732-5500
Type: Location
55 FOGG RD
SOUTH WEYMOUTH, MA 021902432
Phone: (607) 437-9362
Type: Location
125 PARKER HILL AVE
BOSTON, MA 021202847
Phone: (607) 437-9362
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-06-04
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20140604001849 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 18 | 18 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 02190)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | MD | |
| - | MA | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| - | MA | |
| G A S T R O E N T E R O L O G Y | MA | |
| - | MA | |
| - | ME | |
| - | MA | |
| N E U R O L O G Y | MA | |
| Nurse Practitioner | MA |
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