Timothy John O'Connor, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1755 Issued in NH

Practice address

17 Riverside St Ste 101
Nashua, NH 03062-1383

Phone

(603) 883-0091

Fax

(603) 881-3739

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• Catholic Medical Center Hospital, Manchester, NH, CCN 300034

Merit-based Incentive Payment System (MIPS)

Final score

75.37 of 100Reported as group

Quality

56.5

Promoting interoperability

86

Improvement activities

40

Cost

73.05

Merit-based Incentive Payment System (MIPS)

Final score

31.26 of 100Reported as group

Quality

9.5

Promoting interoperability

0

Improvement activities

20

Cost

69.69

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.oconnor.p1@direct.nhoc.nextgenshare.com

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.

• Northeast Orthopaedic Alliance PLLC

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1417724170

  NH

  Medicare reassignment Care Compare group NPD

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

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• Manchester Health Services, LLC

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  Care Compare affiliation

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1831768035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621383",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621383",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3129124",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nhoc@nhoc.exscribedirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "17 Riverside St Ste 101",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030621383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Taylor O'Brien
• Mary O'Connell
• Amy O'Connor, CD
• Jacquelyn Marie O'Connor, LICSW
• Kristen O'Connor, BA
• Barbara S. O'Dea, M.D.
• Bridget O'Donnell, BS
• Suzanne O'Gara, BA, MSOL
• Brian Joseph O'Hearn Jr., FNP-C
• Jean O'Leary

• Surgical Physician Assistant in Nashua, NH
• Providers in Nashua, NH by specialty
• Surgical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.

Verify at the official NPI Registry.