KATHLEEN MARIE O'CONNELL (MD) – Trauma Surgery Physician, NPI 1790001071

KATHLEEN MARIE O'CONNELL (MD) is a healthcare provider. based in Seattle, Washington. specializing in GENERAL SURGERY, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. MD60553737 (WA). The NPI Number for KATHLEEN MARIE O'CONNELL (MD) is 1790001071

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MARIE O'CONNELL (MD)
NPI
1790001071
Phone
(206) 520-5700
Address
PO BOX 50095
Enumeration Date
12 April 2010
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2067313000
Graduation Year
2010 (16 years ago)
PAC ID
8224341433
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20171109000980
Address ID
WA981042420SE325XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

826 GENERAL SURGERY in WA

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Provider Addresses for KATHLEEN MARIE O'CONNELL (MD)

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 520-5700

    Type: Mailing

  • Harborview Medical Center, 325, 9th Avenue, Little Saigon, First Hill, Seattle, King County, Washington, 98104, United States

    SEATTLE, WA 98104

    Phone: (206) 520-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($152).

Total Amount

$171

General + Research + Ownership

Payments

3

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

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: 2017-11-09

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
I20171109000980IGeneral SurgeryWATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 98145)

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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: 0446162697View full group profile

Reviews

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Frequently asked questions

Is KATHLEEN MARIE O'CONNELL (MD) listed with a National Provider Identifier?
Yes — KATHLEEN MARIE O'CONNELL (MD) has NPI 1790001071 on file in the registry.
Is there an active status for KATHLEEN MARIE O'CONNELL (MD)?
For scheduling context, KATHLEEN MARIE O'CONNELL (MD) is shown as active in the registry.
What clinical focus is listed for KATHLEEN MARIE O'CONNELL (MD)?
At a glance, KATHLEEN MARIE O'CONNELL (MD) is tied to Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHLEEN MARIE O'CONNELL (MD)?
Directory geography for KATHLEEN MARIE O'CONNELL (MD) centers on Seattle, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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