DR. ANDREW W O'LEARY (D.O.) – Radiation Oncology Physician, NPI 1376598995

DR. ANDREW W O'LEARY (D.O.) is a healthcare provider. based in Gulfport, Mississippi. specializing in Radiation Oncology Physician. They hold the professional credentials D.O.. They hold a License No. 34006642 (OH). The NPI Number for DR. ANDREW W O'LEARY (D.O.) is 1376598995

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW W O'LEARY (D.O.)
NPI
1376598995
Phone
(228) 575-2950
Address
1340 Broad Ave Ste 140
Enumeration Date
23 May 2006
Last Update Date
8 October 2020

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4193836644
Graduation Year
1995 (31 years ago)
PAC ID
0143243162
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20060706000073
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for DR. ANDREW W O'LEARY (D.O.)

  • 1340 Broad Ave Ste 140

    Gulfport, MS 395012445

    Phone: (228) 575-2950

    Type: Location

  • 2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States

    ATTN: PAYER CONTRACTING & RELATIONS DEPT.

    FORT MYERS, FL 339071412

    Phone: (239) 931-7342

    Fax: (239) 931-7385

    Type: Mailing

  • South Florida Radiation Oncology, 3343, State Road 7, Wellington, Palm Beach County, Florida, 33447, United States

    WELLINGTON, FL 334498002

    Phone: (561) 795-9845

    Fax: (561) 795-8791

    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: 2006-07-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060706000073IRadiation OncologyOHTBD

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 39501)

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Provider's Procedures

DR. ANDREW W O'LEARY (D.O.) performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYFL77263Management of radiation therapy, complex2727
RADIATION ONCOLOGYFL77427Radiation treatment management, 5 treatments22496

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: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ANDREW W O'LEARY (D.O.)'s NPI?
Yes. DR. ANDREW W O'LEARY (D.O.) is listed with NPI 1376598995 in the public NPI dataset.
Can I rely on DR. ANDREW W O'LEARY (D.O.) being an active provider?
As of the registry snapshot, DR. ANDREW W O'LEARY (D.O.) is marked active.
What is DR. ANDREW W O'LEARY (D.O.)'s specialty?
The listing groups DR. ANDREW W O'LEARY (D.O.) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANDREW W O'LEARY (D.O.)?
DR. ANDREW W O'LEARY (D.O.)'s geographic hint is Gulfport, Mississippi in our summary view.
Why does DR. ANDREW W O'LEARY (D.O.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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