CAROLYN A OCONNOR – Family Medicine Physician, NPI 1962425322
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CAROLYN A OCONNOR
Walla Walla Post Office, 85, Commercial Street, Walla Walla, Greater Hume Shire Council, New South Wales, 2659, Australia
WALLA WALLA, WA 993620309
Phone: (509) 527-8151
Fax: (509) 527-8010
Type: Mailing
723 MEMORIAL ST
PROSSER, WA 993501524
Phone: (509) 786-2222
Fax: (509) 786-6612
Type: Mailing
336 CHARDONNAY AVE STE A
PROSSER, WA 993509515
Phone: (509) 786-1576
Fax: (509) 786-1574
Type: Location
1111, South 2nd Avenue, Walla Walla, Walla Walla County, Washington, 99362, United States
WALLA WALLA, WA 993624118
Phone: (509) 527-8151
Fax: (509) 527-8010
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 $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($22).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $22 |
| Lilly USA, LLC | $18 |
| PFIZER INC. | $17 |
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: 2005-02-24
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 |
|---|---|---|---|---|
| I20050224000426 | I | Family Practice | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| - | CA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | FL | |
| - | WA | |
| - | WA | |
| - | WA |
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