Active NPI
Patrick M. O'Brien, M.D.
- Obstetrics & Gynecology Physician
- Damariscotta, ME
National Provider Identifier
1295711042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD26107
- Practice address
- 24 Miles Center Way
Damariscotta, ME 04543-4067 - Phone
- (207) 563-1234
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 74029 | MA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD26107 | ME | Primary |
Addresses
Primary practice location
24 Miles Center Way
Damariscotta, ME 04543-4067
Mailing address
PO Box 12622
Belfast, ME 04915-4017
Phone (410) 820-0038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411217200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221130001849 | ME | Practitioner - Obstetrics/Gynecology | 8325930100 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74029 | MA | MD | Obstetrics & Gynecology Physician |
| MD26107 | ME | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Williamstown Medical Associates PC | Past | Accepting new patients |
Locations
24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- pobrien560584@direct.mmc.mainehealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Multi-Specialty Clinic/Center
- Biddeford, ME
- NPI 1215417019
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Internal Medicine Physician
- Williamstown, MA
- NPI 1154319200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1295711042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12622",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154017",
"telephone_number": "410-820-0038",
"fax_number": "410-820-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MILES CENTER WAY",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434067",
"telephone_number": "207-563-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "PATRICK",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "74029",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "MD26107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411217200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.