KEVIN O'REILLY – Nurse Practitioner, NPI 1396229811

KEVIN O'REILLY is a healthcare provider. based in Maryville, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 24725 (TN). The NPI Number for KEVIN O'REILLY is 1396229811

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN O'REILLY
NPI
1396229811
Phone
(865) 273-1752
Address
103 W BROADWAY AVE
Enumeration Date
20 September 2018
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
8655391031
Graduation Year
2018 (8 years ago)
PAC ID
4981948916
Group Practice PAC ID
8224358353
Professional Enrollment ID
I20181203001974
Address ID
TN379235229KN214XXRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for KEVIN O'REILLY

  • 103 W BROADWAY AVE

    MARYVILLE, TN 378014703

    Phone: (865) 273-1752

    Fax: (865) 273-1755

    Type: Mailing

  • 907 E LAMAR ALEXANDER PKWY

    MARYVILLE, TN 378045015

    Phone: (865) 981-2300

    Fax: (865) 981-2302

    Type: Location

  • 907 E Lamar Alexander Pkwy

    Maryville, TN 378045015

    Phone: (865) 981-2300

    Fax: (865) 981-2302

    Type: Location

  • Ridgeview Behavioral Health Services, 240, West Tyrone Road, Jackson Square, Oak Ridge, Anderson County, Tennessee, 37830, United States

    OAK RIDGE, TN 378306517

    Phone:

    Type: Mailing

  • 405 ELLIS AVE

    MARYVILLE, TN 378045823

    Phone: (865) 980-5377

    Fax: (865) 980-5376

    Type: Location

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $2,036.

Total Amount is formed as General ($2,036) + Research ($0) + Ownership ($0) = $2,036.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($416).

Total Amount

$2,036

General + Research + Ownership

Payments

91

Total payment records

General Amount

$2,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-12-03

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
I20181203001974INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5619$0
99215Established patient office or other outpatient visit, 40-54 minutes3519$0
View full utilization report →

Insurance plans in this area (ZIP 37801)

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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: 8224358353View full group profile
NameSpecialtyState
Nurse PractitionerTN
P S Y C H I A T R YTN
Nurse PractitionerTN
P S Y C H I A T R YTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I cross-check KEVIN O'REILLY using NPI 1396229811?
NPI 1396229811 belongs to KEVIN O'REILLY; compare other details if you need extra assurance.
Would KEVIN O'REILLY appear as active to a payer?
You can treat KEVIN O'REILLY as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KEVIN O'REILLY?
KEVIN O'REILLY's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Tennessee is KEVIN O'REILLY registered?
Use Maryville, Tennessee as the headline location for KEVIN O'REILLY here.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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