MICHELLE CHRISTINE O'BRIEN M.D.
NPI 1073956538
Orthopaedic Surgery - Hand Surgery in West Columbia, SC

Active since April 15, 2013PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
146 E HOSPITAL DR STE 140&350, WEST COLUMBIA, SC 29169(803) 936-7230(803) 936-8097 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Jul 20, 2022, Nov 10, 2020 and 2 more (5 updates tracked since 2018).

About Michelle Christine O'brien M.d. NPPES

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

MICHELLE CHRISTINE O'BRIEN M.D. (NPI 1073956538) is an individual hand surgery provider in West Columbia, South Carolina, licensed in South Carolina (82433) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of University Of Louisville School Of Medicine (2013).

NPPES Registry Identity

NPI1073956538
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameMICHELLE CHRISTINE O'BRIENCredential: M.D.
Location Address146 E HOSPITAL DR STE 140&350West Columbia, SC 29169-4800
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 936-8097
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2013
Enumeration DateApril 15, 2013
Last NPPES UpdateJune 13, 20245 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1073956538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in SC · 82433
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 82433 (SC)
146 E HOSPITAL DR STE 140&350, West Columbia, SC 29169

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Christine O'brien M.d. 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 ID6305088980
PECOS Enrollment IDI20191024000583
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.

Areas of Expertise CMS Part B claims 14

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
266 services175 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
236 services169 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
228 services161 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
184 services123 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
168 services122 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$132.42 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers24 claims24 services$41.67 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.

Orthopaedic Surgery
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery (Hand Surgery)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169
Physician Assistant (Surgical)
146 E HOSPITAL DR STE 140&350
WEST COLUMBIA, SC 29169

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 Michelle O'brien's NPI number?

The NPI number for Michelle O'brien is 1073956538. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Michelle O'brien located?

Michelle O'brien practices at 146 E Hospital Dr Ste 140&350, West Columbia, SC 29169. The listed phone number is (803) 936-7230.

What is Michelle O'brien's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Michelle O'brien enrolled in Medicare?

Yes. Michelle O'brien 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.

What insurance does Michelle O'brien accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and UnitedHealthcare list Michelle O'brien 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 Michelle O'brien affiliated with any hospitals?

According to CMS data, Michelle O'brien is affiliated with Musc Medical Center and Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle O'brien was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.