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MICHAEL JAMES O'CONNELL D.O
NPI 1093032427
Emergency Medicine in Falmouth, MA

Active since April 25, 2010PECOS EnrolledAccepts Medicare Assignment
97.38/100
CMS Quality Rating
100 TER HEUN DR, FALMOUTH, MA 02540(508) 457-3660 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael James O'connell D.o NPPES

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

MICHAEL JAMES O'CONNELL D.O (NPI 1093032427) is an individual emergency medicine provider in Falmouth, Massachusetts, licensed in Massachusetts (254067) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Falmouth Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2010).

NPPES Registry Identity

NPI1093032427
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL JAMES O'CONNELLCredential: D.O
Location Address100 TER HEUN DRFalmouth, MA 02540-2503
Mailing Address100 Ter Heun DrFalmouth, MA 02540-2503 · (508) 457-3660
Phone(508) 457-3660
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2010
Enumeration DateApril 25, 2010
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1093032427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 254067
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 TER HEUN DR, Falmouth, MA 02540
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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

Michael James O'connell D.o 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 ID9032350780
PECOS Enrollment IDI20130723000925
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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
544 services516 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
149 services145 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.
47 services47 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.
41 services41 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services38 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02540 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.56
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$104.00 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.

DR. WILLIAM STEPHEN SUTTON-OHANNESIAN DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
DR. BERTRAND STEVENS DUNCAN M.D.
Surgery
100 TER HEUN DR, FALMOUTH HOSPITAL
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
CAPE COD HEALTHCARE INC
General Acute Care Hospital
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
DR. SARAH TODD MD
Emergency Medicine
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 457-3660
RACHEL TROSKY FNP-C
Nurse Practitioner (Family)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
JILLIAN N STONE NP
Nurse Practitioner (Acute Care)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
MARK STEPHEN KAMP MD
Anesthesiology
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-8989
VLADIMIR KOREN MD
Internal Medicine
100 TER HEUN DR, FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT
FALMOUTH, MA 02540
Barnstable County (508) 457-3748

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 Michael O'connell's NPI number?

The NPI number for Michael O'connell is 1093032427. It was assigned to this individual provider in the NPPES registry on April 25, 2010.

Where is Michael O'connell located?

Michael O'connell practices at 100 Ter Heun Dr, Falmouth, MA 02540. The listed phone number is (508) 457-3660.

What is Michael O'connell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael O'connell enrolled in Medicare?

Yes. Michael O'connell 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.

Is Michael O'connell affiliated with any hospitals?

According to CMS data, Michael O'connell is affiliated with Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Michael O'connell was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.