KELLY O'BRIEN PA-C
NPI 1083212344
Physician Assistant in Edgewood, KY

Active since October 09, 2020PECOS Enrolled
90.38/100
CMS Quality Rating
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 873-0452(859) 578-3800 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2022, Oct 9, 2020 (2 updates tracked since 2020).

About Kelly O'brien Pa-c NPPES

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

KELLY O'BRIEN PA-C (NPI 1083212344) is an individual physician assistant in Edgewood, Kentucky, licensed in Kentucky (PA2701) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083212344
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY O'BRIENCredential: PA-C
Location Address711 MEDICAL VILLAGE DREdgewood, KY 41017
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555
Fax(859) 578-3800
Sole ProprietorNo
Enumeration DateOctober 9, 2020
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1083212344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · PA2701 Licensed in KY · TC966
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

711 MEDICAL VILLAGE DR, Edgewood, KY 41017

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 (PECOS)

Kelly O'brien Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Internal Medicine (Interventional Cardiology)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

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 Kelly O'brien's NPI number?

The NPI number for Kelly O'brien is 1083212344. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Kelly O'brien located?

Kelly O'brien practices at 711 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 873-0452.

What is Kelly O'brien's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly O'brien enrolled in Medicare?

Yes. Kelly O'brien is registered in the Medicare PECOS enrollment system.

What insurance does Kelly O'brien accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly O'brien was last updated on May 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.