Active NPI
Timothy C O'Brien, M.D.
- Surgery Physician
- Rockport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD18627
- Practice address
- 4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235 - Phone
- (207) 593-5737
- Fax
- (207) 593-5333
- NPI assigned
- Jun 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD18627 | ME | Primary |
Addresses
Primary practice location
4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Mailing address
4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Phone (207) 593-5737
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Hahnemann University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
4 Glen Cove Dr
Rockport, ME 04856-4236
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969
Hospital & facility affiliations
- Mainehealth Pen Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 12 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Penobscot Bay Physicians & Associates | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| Mainegeneral Medical Center | Surgery | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400
4 Glen Cove Dr
Ste 5
Rockport, ME 04856
Phone (207) 592-5883
4 Glen Cove Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5737
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
Interoperability endpoints
- tobrien18108@direct.mmc.mainehealth.org
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- Multi-Specialty Clinic/Center
- Rockport, ME
- NPI 1497799720
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1962441055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GLEN COVE DR",
"address_2": "SUITE 103",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564235",
"telephone_number": "207-593-5737",
"fax_number": "207-593-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 GLEN COVE DR",
"address_2": "SUITE 103",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564235",
"telephone_number": "207-593-5737",
"fax_number": "207-593-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "TIMOTHY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD18627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.