DR. EILEEN M. O'BRIEN-SU (M.D.) – Pediatrics Physician, NPI 1790799344
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
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Provider Addresses for DR. EILEEN M. O'BRIEN-SU (M.D.)
731, East Southlake Boulevard, Park Village, Southlake, Tarrant County, Texas, 76092, United States
SUITE 100
SOUTHLAKE, TX 760926377
Phone: (817) 912-8800
Fax: (817) 912-8810
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $203.
Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($100).
Total Amount
$203
General + Research + Ownership
Payments
13
Total payment records
General Amount
$203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $100 |
| Astellas Pharma US Inc | $39 |
| Merck Sharp & Dohme LLC | $18 |
| Dexcom, Inc. | $15 |
| Exact Sciences Corporation | $15 |
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: 2010-04-26
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 |
|---|---|---|---|---|
| I20100426000062 | I | Pediatric Medicine | TX | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 141 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 80 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 61 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 45 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 20 | 20 | $0 |
Insurance plans in this area (ZIP 76092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
Reviews
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