PATRICK O'HARA – Family Medicine Physician, NPI 1508972233

PATRICK O'HARA is a healthcare provider. based in Fredericktown, Missouri. specializing in FAMILY PRACTICE. They hold a License No. 110421 (MO). The NPI Number for PATRICK O'HARA is 1508972233

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK O'HARA
NPI
1508972233
Phone
(573) 783-3341
Address
611 W MAIN ST
Enumeration Date
23 August 2006
Last Update Date
1 March 2021

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
5737833341
Graduation Year
1996 (30 years ago)
PAC ID
3779665542
Group Practice PAC ID
1355255886
Professional Enrollment ID
I20080201000122
Address ID
MO636451111FR611XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for PATRICK O'HARA

  • 611 W MAIN ST

    FREDERICKTOWN, MO 636451111

    Phone: (573) 783-3341

    Fax: (573) 783-1096

    Type: Mailing

  • 1314, Brenda, Perryville, Perry County, Missouri, 63775, United States

    PERRYVILLE, MO 637752303

    Phone: (573) 517-0405

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($54).

Total Amount

$84

General + Research + Ownership

Payments

4

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$54
Novo Nordisk Inc$30
View all Open Payments →|Open Payments Risk Radar →

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: 2008-02-01

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
I20080201000122IFamily PracticeMOTBD

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 63645)

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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: 1355255886View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Pediatric MedicineMO
-MO
Nurse PractitionerMO
-MO
G A S T R O E N T E R O L O G YMO
Emergency MedicineMO
Internal Medicine, RheumatologyMO
-MO

Reviews

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Frequently asked questions

What NPI should I save for PATRICK O'HARA?
Save NPI 1508972233 if you need a stable reference for PATRICK O'HARA.
Is PATRICK O'HARA currently active in the NPI registry?
CMS-published data lists PATRICK O'HARA as an active registrant.
What kind of provider is PATRICK O'HARA?
The page reflects Family Medicine Physician for PATRICK O'HARA. Clinical services aligned with this taxonomy classification.
What location shows for PATRICK O'HARA?
We surface Fredericktown, Missouri for PATRICK O'HARA based on available NPPES addresses.
Is PATRICK O'HARA a real provider?
This page reflects official NPPES data for NPI 1508972233. Always confirm identity and privileges with the practice and licensing boards.

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