JILL O'CONNOR (PA-C) – Surgical Physician Assistant, NPI 1861631145

JILL O'CONNOR (PA-C) is a healthcare provider. based in Beavercreek, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50002879 (OH). The NPI Number for JILL O'CONNOR (PA-C) is 1861631145

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JILL O'CONNOR (PA-C)
NPI
1861631145
Phone
(937) 424-5825
Address
2587 COMMONS BLVD
Enumeration Date
11 February 2009
Last Update Date
15 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2008 (18 years ago)
PAC ID
4880742410
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20090508000046
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
joconnor566817@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Loading map...

Provider Addresses for JILL O'CONNOR (PA-C)

  • Bone & Joint Surgeons, 2587, Commons Boulevard, Beavercreek, Greene County, Ohio, 45431:45432, United States

    SUITE 110

    BEAVERCREEK, OH 454313841

    Phone: (937) 424-5825

    Fax: (937) 458-0239

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2009-05-08

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
I20090508000046IPhysician AssistantOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6558$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 45431)

Loading plans...

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: 3173710936View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantOH
Radiation OncologyOH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Orthopedic SurgeryOH
Critical Care (Intensivists), Sleep Medicine, Pulmonary DiseaseOH
Physician AssistantOH
Physician AssistantMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)OH

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.

Frequently asked questions

How do payers reference JILL O'CONNOR (PA-C)?
For JILL O'CONNOR (PA-C), use NPI 1861631145 as the unique 10-digit identifier.
Active or inactive — what applies to JILL O'CONNOR (PA-C)?
You should see JILL O'CONNOR (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to JILL O'CONNOR (PA-C)?
JILL O'CONNOR (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JILL O'CONNOR (PA-C) located near Beavercreek?
JILL O'CONNOR (PA-C) currently maps to Beavercreek, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MR. DOUGLAS W JOHNSON (PA-C)

Surgical Physician Assistant
3995, Willow Run Drive, Mount Saint John, Beavercreek, Greene County, Ohio, 45430, United States
NPI: 1003816471

ELLEN A NORMAN (PA-C)

Surgical Physician Assistant
2736, Coldsprings Drive, Beavercreek, Greene County, Ohio, 45434, United States
NPI: 1144220336
3439, Mill Run Drive, Knollwood, Beavercreek, Greene County, Ohio, 45432, United States
NPI: 1659351708

CASEY D YOUNG (PA)

Surgical Physician Assistant
4750 DAYTON SPRINGFIELD RD
NPI: 1619933629

SAMANTHA JACK (PA-C)

Surgical Physician Assistant
725 UNIVERSITY BLVD
NPI: 1316314925