CASEY M O'BRIEN (PA-C) – Physician Assistant, NPI 1073133484

CASEY M O'BRIEN (PA-C) is a healthcare provider. based in Williston, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 055.0031747 (VT). The NPI Number for CASEY M O'BRIEN (PA-C) is 1073133484

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CASEY M O'BRIEN (PA-C)
NPI
1073133484
Phone
(802) 878-1175
Address
426 INDUSTRIAL AVE STE 130
Enumeration Date
26 April 2020
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028781008
Graduation Year
2020 (6 years ago)
PAC ID
7214328921
Group Practice PAC ID
1153402888
Professional Enrollment ID
I20240708000606
Address ID
VT054954449WI426XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

13,243 PHYSICIAN ASSISTANT in NY

Provider Addresses for CASEY M O'BRIEN (PA-C)

  • 426 INDUSTRIAL AVE STE 130

    WILLISTON, VT 054954449

    Phone: (802) 878-1175

    Fax: (802) 652-5355

    Type: Mailing

  • 206 CORNELIA ST

    PLATTSBURGH, NY 129012878

    Phone: (518) 561-5516

    Type: Mailing

  • 360 HUNTINGTON AVE

    BOSTON, MA 021155005

    Phone: (802) 598-1605

    Type: Mailing

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: 2024-07-08

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
I20240708000606IPhysician AssistantVTTBD

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
20610Aspiration and/or injection of fluid from large joint22694$0
99213Established patient office or other outpatient visit, 20-29 minutes145114$0
99214Established patient office or other outpatient visit, 30-39 minutes3934$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 05495)

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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: 1153402888View full group profile
NameSpecialtyState
Family PracticeVT
Nurse PractitionerVT
Family Practice, Sports MedicineVT
Family PracticeVT
Family PracticeVT
-VT
Family PracticeVT
Physician AssistantVT
-VT
Physician AssistantVT

Reviews

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Frequently asked questions

Can I cross-check CASEY M O'BRIEN (PA-C) using NPI 1073133484?
NPI 1073133484 belongs to CASEY M O'BRIEN (PA-C); compare other details if you need extra assurance.
Is CASEY M O'BRIEN (PA-C) shown as active in public data?
Registry records indicate CASEY M O'BRIEN (PA-C) maintains an active NPI.
What clinical focus is listed for CASEY M O'BRIEN (PA-C)?
At a glance, CASEY M O'BRIEN (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CASEY M O'BRIEN (PA-C) associated with Williston?
Public fields place CASEY M O'BRIEN (PA-C) around Williston, Vermont. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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