CATHY O'NEIL M.D., M.P.H.
NPI 1003955279
Hospitalist in Gainesville, FL

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 392-0140 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2026, Sep 5, 2024, May 9, 2023 and 2 more (5 updates tracked since 2017).

About Cathy O'neil M.d., M.p.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHY O'NEIL M.D., M.P.H. (NPI 1003955279) is an individual hospitalist provider in Gainesville, Florida, licensed in Florida (ME168894) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003955279
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameCATHY O'NEILCredential: M.D., M.P.H.
Location Address1600 SW ARCHER RDGainesville, FL 32610-3178
Mailing AddressPo Box 800022Kansas City, MO 64180-0022 · (800) 953-0104 · Fax (303) 765-6670
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMarch 3, 20265 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1003955279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in FL · ME168894✔ Licensed in OK · PENDING✔ Licensed in CO · DR.0039597
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0039597 (CO), 68526 (MN), ME168894 (FL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License DR.0039597 (CO)
1600 SW ARCHER RD, Gainesville, FL 32610

Secondary Practice Locations 3

Location 12030 Mountain View Ave, Suite 250Longmont, CO 80501-3178 · Phone (303) 485-4243 · Fax (303) 485-4240
Location 2100 Health Park DrLouisville, CO 80027-9583 · Phone (303) 673-1000 · Fax (303) 673-1204
Location 31950 Mountain View AveLongmont, CO 80501-3129 · Phone (303) 485-3066 · Fax (303) 485-3060

Other Identifiers 2

Medicaid123314400FL
Medicaid83509542CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cathy O'neil M.d., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608834387
PECOS Enrollment IDI20041228000635, I20230403000311, I20231107003857
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

13

Medicare enrollment records show Cathy O'neil reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
Urgent Care
70 TURIN TER STE 110
St Augustine, FL 32092
  • Reassigned Medicare billing, Florida enrollment
  • 354 clinicians in this Medicare group
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Colorado enrollment
General Practice
1221 S GEAR AVE
West Burlington, IA 52655
  • Reassigned Medicare billing, Colorado enrollment
  • 14 clinicians in this Medicare group
General Practice
407 S WHITE ST
Mount Pleasant, IA 52641
  • Reassigned Medicare billing, Colorado and Iowa enrollments
  • Also billed through NPI 1811571417 (Iowa)
  • 2 clinicians in this Medicare group
Hospitalist
1111 N LEE AVE STE 305
Oklahoma City, OK 73103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 89 clinicians in this Medicare group
Clinic/Center
6936 PINE ARBOR DRIVE SOUTH, SUITE 100
Cottage Grove, MN 55016
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
General Acute Care Hospital
201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
Orthopaedic Surgery
401 KENDALL DR
Lamar, CO 81052
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
200 services101 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
174 services67 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
132 services65 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
97 services90 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
86 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
65 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%267 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers67 claims67 services$16.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers140 claims140 services$87.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers64 claims64 services$33.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cathy O'neil's NPI number?

The NPI number for Cathy O'neil is 1003955279. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Cathy O'neil located?

Cathy O'neil practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 392-0140.

What is Cathy O'neil's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Cathy O'neil enrolled in Medicare?

Yes. Cathy O'neil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cathy O'neil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cathy O'neil reassigns Medicare benefits to 13 organizations: Florida Clinical Practice Association Inc (Gainesville, FL), Villages Regional Hospital Physician Services LLC (St Augustine, FL), Methodist Medical Center Of Illinois (Peoria, IL), Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA), Henry County Health Center Inc (Mount Pleasant, IA) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cathy O'neil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cathy O'neil accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Oklahoma and Wellmark Health Plan of Iowa, Inc. list Cathy O'neil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cathy O'neil affiliated with any hospitals?

According to CMS data, Cathy O'neil is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Cathy O'neil was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.