NPIMap

Individual provider Active NPI

Peter O'Connor, D.O.

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1720408461
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
82080 Issued in SC
Practice address
171 Ashley Avenue
Charleston, SC 29425-4756
Phone
(843) 792-1414
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS19915 PA
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 82080 SC Primary

Addresses

Primary practice location

171 Ashley Avenue
Charleston, SC 29425-4756

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190628002300 PA Practitioner - Diagnostic Radiology 3274867932 Reassigns benefits to 1 organization
I20190814003500 SC Practitioner - Diagnostic Radiology 3274867932 Reassigns benefits to 2 organizations
I20211022002033 NY Practitioner - Diagnostic Radiology 3274867932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
309226NYMDLicensed Practical Nurse
OS19915PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidelands Health Market Common LLC CurrentSince Jan 1, 2026 Accepting new patients
Musc Community Physicians CurrentSince Jan 1, 2026 Accepting new patients
University Medical Associates of the Medical University of South Carol Diagnostic Radiology CurrentSince Jun 13, 2019 Accepting new patients
Chautauqua Medical Practice, P.C. CurrentSince Jul 21, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1720408461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVENUE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294254756",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "PETER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS19915",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "82080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.