GREGORY MICHAEL O'CONNOR – Diagnostic Radiology Physician, NPI 1164982872

GREGORY MICHAEL O'CONNOR is a healthcare provider. based in Cleveland heights, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. MD61669415 (WA). The NPI Number for GREGORY MICHAEL O'CONNOR is 1164982872

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY MICHAEL O'CONNOR
NPI
1164982872
Phone
(440) 478-9233
Address
2953 E DERBYSHIRE RD
Enumeration Date
20 March 2019
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538414353
Graduation Year
2014 (12 years ago)
PAC ID
6103151352
Group Practice PAC ID
5597652917
Professional Enrollment ID
I20250602001339
Address ID
WA984051328TA2502XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

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Provider Addresses for GREGORY MICHAEL O'CONNOR

  • 2953, East Derbyshire Road, Euclid Heights, Cleveland Heights, Cuyahoga County, Ohio, 44118, United States

    CLEVELAND HEIGHTS, OH 441182756

    Phone: (440) 478-9233

    Type: Mailing

  • MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States

    CLEVELAND, OH 441091900

    Phone: (216) 778-4486

    Type: Location

  • 1304 Fawcett Ave

    Tacoma, WA 984021911

    Phone: (253) 761-4200

    Type: Location

  • 464 E PETTIGREW ST APT 523

    DURHAM, NC 277014853

    Phone: (440) 478-9233

    Type: Mailing

  • 2301 ERWIN RD

    DURHAM, NC 277054699

    Phone: (919) 684-8111

    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: 2025-06-02

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
I20240912001174IDiagnostic RadiologyNCTBD
I20250602001339IDiagnostic RadiologyWATBD

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 44118)

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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: 5597652917View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyCA
Diagnostic RadiologyWA
Diagnostic RadiologyWA
-WA

Reviews

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Frequently asked questions

What is GREGORY MICHAEL O'CONNOR's NPI number?
GREGORY MICHAEL O'CONNOR's NPI is 1164982872 — the number used across U.S. healthcare to identify this provider.
Is there an active status for GREGORY MICHAEL O'CONNOR?
For scheduling context, GREGORY MICHAEL O'CONNOR is shown as active in the registry.
What clinical focus is listed for GREGORY MICHAEL O'CONNOR?
At a glance, GREGORY MICHAEL O'CONNOR is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GREGORY MICHAEL O'CONNOR?
Directory geography for GREGORY MICHAEL O'CONNOR centers on Cleveland Heights, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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