Individual provider Active NPI

Patrick Mark O'Brien, M.D.

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
National Provider Identifier
1861615155
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10105 Issued in SD
Practice address
911 E 20TH St Ste 300
Sioux Falls, SD 57105-1045
Phone
(605) 322-1300
Fax
(605) 322-1301
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2014-01725 NC
Orthopaedic Surgery Physician 207X00000X 10105 SD Primary

Addresses

Primary practice location

911 E 20TH St Ste 300
Sioux Falls, SD 57105-1045

Mailing address

911 E. 20TH St
Ste 300
Sioux Falls, SD 57105-1045
Phone (605) 322-1300

Other practice location 1

6100 S Louise Ave Ste 2100
Sioux Falls, SD 57108-6021
Phone (605) 504-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161102001543 SD Practitioner - Orthopedic Surgery 9032344403 Reassigns benefits to 1 organization
I20190828002046 MN Practitioner - Orthopedic Surgery 9032344403 Reassigns benefits to 2 organizations
I20191014003429 IA Practitioner - Orthopedic Surgery 9032344403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Creighton University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

1100 S 10TH Ave
Rock Rapids, IA 51246-2020

1200 1St Ave E
Spencer, IA 51301-4342

6100 S Louise Ave
Sioux Falls, SD 57108-6029

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Avera Merrill Pioneer Hospital Hospital, Rock Rapids, IA, CCN 161321
  • Hegg Memorial Health Center Hospital, Rock Valley, IA, CCN 161336
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)20
Upper limb (arm) arthroscopy (minimally invasive joint repair)39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01725NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall Current Accepting new patients
Avera McKennan CurrentSince Oct 1, 2016 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Orthopaedic Surgery CurrentSince Aug 30, 2019 Accepting new patients
Avera McKennan CurrentSince Oct 1, 2016 Accepting new patients
Avera Marshall CurrentSince Aug 1, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Avera Marshall CurrentSince Aug 1, 2019 Accepting new patients

Locations

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

911 E 20th St
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-1300

6100 S Louise Ave
Ste 2100
Sioux Falls, SD 57108
Phone (605) 504-1100

Interoperability endpoints

  • Direct secure messaging: patrick.obrien@avera.sdhealthlink.net

Organizations & group practices 8

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1861615155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E. 20TH ST",
            "address_2": "STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051045",
            "telephone_number": "605-322-1300",
            "fax_number": "605-322-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 20TH ST STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051045",
            "telephone_number": "605-322-1300",
            "fax_number": "605-322-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 S Louise Ave Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571086021",
            "country_code": "US",
            "telephone_number": "605-504-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "PATRICK",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2014-01725",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "10105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.