SARAH J O'CONNELL M.D.
NPI 1093721698
Family Medicine in Scituate, MA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
74.75/100
CMS Quality Rating
56 NEW DRIFTWAY, SCITUATE, MA 02066(781) 544-1388 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Feb 9, 2024 (2 updates tracked since 2024).

About Sarah J O'connell M.d. NPPES

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

SARAH J O'CONNELL M.D. (NPI 1093721698) is an individual family medicine provider in Scituate, Massachusetts, licensed in Massachusetts (227792) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Boston University School Of Medicine (2003).

NPPES Registry Identity

NPI1093721698
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSARAH J O'CONNELLCredential: M.D.
Location Address56 NEW DRIFTWAYScituate, MA 02066-4533
Mailing AddressPo Box 68S Weymouth, MA 02190-0001 · (781) 803-2786 · Fax (781) 812-1631
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2003
Enumeration DateAugust 1, 2006
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1093721698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 227792
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
56 NEW DRIFTWAY, Scituate, MA 02066

Other Identifiers 18

Other117605MA · Fallon
Medicaid2128632MA
Other042297845MA · Unicare
Other7016805MA · Aetna - Ppo
OtherA40755MA · Medicare
Other042297845MA · Hcvm
Other495243MA · Tufts Medicare Preferred
OtherP00378961MA · Rr Medicare
Other042297845MA · Tricare
Other1373215MA · Aetna - Hmo
Other0039272MA · Nhp
OtherJ40787MA · Bcbs
Other042297845MA · Great West Health Care
Other042297845MA · Multi-plan
Other495243MA · Tufts
Other042297845MA · Uhc
Other0447060MA · Cigna
OtherAA68404MA · Harvard Pilgrim

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

Sarah J O'connell 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 ID3678579687
PECOS Enrollment IDI20061016000238
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 12

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.

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.
466 services248 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.
231 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
139 services139 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
69 services69 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
66 services66 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02066 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.

74.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.2
Promoting Interoperability77
Improvement Activities40
Cost64.8

Referred Medical Equipment & Supplies CMS DME claims 9

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$95.15 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims31 services$31.31 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers15 claims15 services$12.20 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims92 services$1.83 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier11 claims21 services$2.43 avg. paid by Medicare
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each E1225
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$25.12 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.

Physical Therapist
56 NEW DRIFTWAY
SCITUATE, MA 02066
Physical Therapist
56 NEW DRIFTWAY
SCITUATE, MA 02066
Dentist (General Practice)
56 NEW DRIFTWAY, SUITE 205
SCITUATE, MA 02066
Nurse Practitioner
56 NEW DRIFTWAY
SCITUATE, MA 02066
Dentist (General Practice)
56 NEW DRIFTWAY
SCITUATE, MA 02066
Advanced Practice Midwife
56 NEW DRIFTWAY
SCITUATE, MA 02066
Dentist (General Practice)
56 NEW DRIFTWAY, SUITE 205
SCITUATE, MA 02066
Physical Therapist
56 NEW DRIFTWAY, SUITE 204
SCITUATE, MA 02066

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 Sarah O'connell's NPI number?

The NPI number for Sarah O'connell is 1093721698. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Sarah O'connell located?

Sarah O'connell practices at 56 New Driftway, Scituate, MA 02066. The listed phone number is (781) 544-1388.

What is Sarah O'connell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sarah O'connell enrolled in Medicare?

Yes. Sarah 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.

What insurance does Sarah O'connell accept?

Health plans from Anthem Blue Cross and Blue Shield list Sarah O'connell 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 Sarah O'connell affiliated with any hospitals?

According to CMS data, Sarah O'connell is affiliated with South Shore Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Sarah O'connell was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.