MS. KELLY ANNE O'BRIEN (M.D.) – Family Medicine Physician, NPI 1265605331
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for MS. KELLY ANNE O'BRIEN (M.D.)
24111 Holmes Street
UMKC School of Medicine Residency Program, MS-302
Kansas City, MO 641082792
Phone: (816) 235-6628
Fax: (816) 404-0003
Type: Location
210, Northwest Murray Road, Lee's Summit, Jackson County, Missouri, 64081, United States
LEES SUMMIT, MO 640811245
Phone: (816) 524-2626
Fax: (816) 524-0173
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $607.
Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($178).
Total Amount
$607
General + Research + Ownership
Payments
36
Total payment records
General Amount
$607
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-12-20
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 |
|---|---|---|---|---|
| I20111220000260 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 291 | 128 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 81 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 44 | $0 |
| G0008 | Administration of influenza virus vaccine | 30 | 30 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 28 | 28 | $0 |
Insurance plans in this area (ZIP 64108)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Family Practice | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.