DR. EDWARD J O'REILLY MD
NPI 1013449867
Surgery in Albuquerque, NM

Q: What is Edward O'reilly's NPI number?

The NPI number for Edward O'reilly is 1013449867. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Edward O'reilly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Edward O'reilly was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 31, 2017PECOS Enrolled

201 CEDAR ST SE STE 306, ALBUQUERQUE, NM 87106(505) 224-7478 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Mar 31, 2017 (2 updates tracked since 2017).

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About Dr. Edward J O'reilly Md NPPES

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

DR. EDWARD J O'REILLY MD (NPI 1013449867) is an individual surgery provider in Albuquerque, New Mexico, licensed in New Mexico (MD2024-1235) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013449867

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. EDWARD J O'REILLYCredential: MD

Location Address201 CEDAR ST SE STE 306Albuquerque, NM 87106-4932

Mailing AddressDerradda House, Cavanacaw RoadArmagh, ULSTER BT602AB

Phone(505) 224-7478

Sole ProprietorYes

Enumeration DateMarch 31, 2017

Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1013449867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NM · MD2024-1235

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

201 CEDAR ST SE STE 306, Albuquerque, NM 87106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward J O'reilly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Edward O'reilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services

0.2 mi

General Acute Care Hospital

1100 CENTRAL SE
Albuquerque, NM 87106

Reassigned Medicare billing, New Mexico enrollment
2,331 clinicians in this Medicare group

NPI 1215913470 (505) 841-1234

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

NADIA GUARDADO MD

Surgery

201 CEDAR ST SE STE 306
ALBUQUERQUE, NM 87106

Bernalillo County (505) 253-6100

ELIZABETH WESTRICK PA-C

Physician Assistant

201 CEDAR ST SE STE 306, GENERAL SURGERY
ALBUQUERQUE, NM 87106

Bernalillo County (505) 253-6100

BLAQUE ARMIJO PA-C

Physician Assistant

201 CEDAR ST SE STE 306
ALBUQUERQUE, NM 87106

Bernalillo County (505) 253-6100

CHARLIE MICHAEL DOSS MD

Surgery

201 CEDAR ST SE STE 306
ALBUQUERQUE, NM 87106

Bernalillo County (505) 253-6100

CHITRA NEELA SAMBASIVAN MD

Colon & Rectal Surgery

201 CEDAR ST SE STE 306
ALBUQUERQUE, NM 87106

Bernalillo County (505) 563-1000

HOPE ZUPFER LEHMAN PA-C

Physician Assistant

201 CEDAR ST SE STE 306
ALBUQUERQUE, NM 87106

Bernalillo County (505) 253-6100

ERICA LEA MCBRIDE D.O.

Surgery

201 CEDAR ST SE STE 306, PMG CEDAR SURGERY GENERAL
ALBUQUERQUE, NM 87106

Bernalillo County (505) 563-1000

ADRIENNE SPENCER MD

Surgery

201 CEDAR ST SE STE 306, GENERAL SURGERY
ALBUQUERQUE, NM 87106

Bernalillo County (505) 253-6100

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 Edward O'reilly's NPI number?

The NPI number for Edward O'reilly is 1013449867. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Edward O'reilly located?

Edward O'reilly practices at 201 Cedar St SE Ste 306, Albuquerque, NM 87106. The listed phone number is (505) 224-7478.

What is Edward O'reilly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edward O'reilly enrolled in Medicare?

Yes. Edward O'reilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward O'reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward O'reilly reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). The 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 Edward O'reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward O'reilly accept?

Health plans from UnitedHealthcare list Edward O'reilly 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.

When was this NPI record last updated?

The NPPES record for Edward O'reilly was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.