REBECCA TYLER O'CONNOR (CGC, PA-C) – Physician Assistant, NPI 1710143029

REBECCA TYLER O'CONNOR (CGC, PA-C) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials CGC, PA-C. They hold a License No. PA2579 (MA). The NPI Number for REBECCA TYLER O'CONNOR (CGC, PA-C) is 1710143029

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA TYLER O'CONNOR (CGC, PA-C)
NPI
1710143029
Phone
(413) 783-9114
Address
1515 ALLEN ST
Enumeration Date
6 August 2008
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
7416175617
Group Practice PAC ID
5799767109
Professional Enrollment ID
I20161116000618
Address ID
MA010204324CH262XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for REBECCA TYLER O'CONNOR (CGC, PA-C)

  • 1515, Allen Street, Springfield, Hampden County, Massachusetts, 01128, United States

    SPRINGFIELD, MA 011181803

    Phone: (413) 783-9114

    Type: Mailing

  • 229 PEARL ST

    SOUTH HADLEY, MA 010751052

    Phone: (413) 219-8935

    Type: Mailing

  • 271 CAREW ST

    SPRINGFIELD, MA 011042377

    Phone: (413) 748-9670

    Type: Location

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: 2025-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161116000618IPhysician AssistantMATBD
I20251017000969IPhysician AssistantVTTBD

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
99283Emergency department visit with low level of medical decision making4747$0
99284Emergency department visit with moderate level of medical decision making4645$0
99238Hospital discharge day management, 30 minutes or less3535$0
99213Established patient office or other outpatient visit, 20-29 minutes3030$0
99285Emergency department visit with high level of medical decision making2525$0
View full utilization report →

Insurance plans in this area (ZIP 01118)

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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: 5799767109View full group profile
NameSpecialtyState
-FL
Emergency MedicineAL
Physician AssistantMA
Physician AssistantIL
Physician AssistantMA
Physician AssistantMA
Internal MedicineMA
Nurse PractitionerCT
Physician AssistantMA
Internal MedicineMA

Reviews

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Frequently asked questions

Is REBECCA TYLER O'CONNOR (CGC, PA-C) listed with a National Provider Identifier?
Yes — REBECCA TYLER O'CONNOR (CGC, PA-C) has NPI 1710143029 on file in the registry.
Active or inactive — what applies to REBECCA TYLER O'CONNOR (CGC, PA-C)?
You should see REBECCA TYLER O'CONNOR (CGC, PA-C) as active in CMS-hosted NPPES data.
What area of care is associated with REBECCA TYLER O'CONNOR (CGC, PA-C)?
REBECCA TYLER O'CONNOR (CGC, PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is REBECCA TYLER O'CONNOR (CGC, PA-C) located near Springfield?
REBECCA TYLER O'CONNOR (CGC, PA-C) currently maps to Springfield, Massachusetts in this extract.
Can I trust this NPI listing for REBECCA TYLER O'CONNOR (CGC, PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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