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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SEAMUS O'BROIN M.D.
NPI 1114140605
Obstetrics & Gynecology in Lexington, KY

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
170 N EAGLE CREEK DR STE 104, LEXINGTON, KY 40509(859) 967-5848(859) 967-5473 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Seamus O'broin M.d. NPPES

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

DR. SEAMUS O'BROIN M.D. (NPI 1114140605) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (48051) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2003).

NPPES Registry Identity

NPI1114140605
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SEAMUS O'BROINCredential: M.D.
Location Address170 N EAGLE CREEK DR STE 104Lexington, KY 40509-9087
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 967-5473
Phone(859) 967-5848
Fax(859) 967-5473
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2003
Enumeration DateApril 11, 2007
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1114140605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in KY · 48051✔ Licensed in MI · 4301081975
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 48051 (KY), 4301081975 (MI)
170 N EAGLE CREEK DR STE 104, Lexington, KY 40509
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Other Identifiers 1

Medicaid7100339050KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Seamus O'broin 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 ID3375636020
PECOS Enrollment IDI20150504001521
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 Seamus O'broin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc
3.8 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390

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 40509 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

RANDI JACOBS APRN
Nurse Practitioner (Family)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
JOHN F. GREENE III M.D.
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
CHRISTOPHER LEE ARVIN PA-C
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
MRS. SONIA N CRUMP PA-C
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
KATHERINE ISABELLE FOSTER MD
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
RACHAEL KELSEY MD
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
ELISE MARIE GARRETT MD
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
LISA MALLARD APRN, CNM
Advanced Practice Midwife
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848

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 Seamus O'broin's NPI number?

The NPI number for Seamus O'broin is 1114140605. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Seamus O'broin located?

Seamus O'broin practices at 170 N Eagle Creek Dr Ste 104, Lexington, KY 40509. The listed phone number is (859) 967-5848.

What is Seamus O'broin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Seamus O'broin enrolled in Medicare?

Yes. Seamus O'broin 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.

Which organization bills Medicare for Seamus O'broin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seamus O'broin reassigns Medicare benefits to Baptist Health Medical Group Inc (Lexington, KY). 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 Seamus O'broin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seamus O'broin accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Seamus O'broin 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 Seamus O'broin was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.