KATHY EDWINA O'CONNELL M.D.
NPI 1114939980
Obstetrics & Gynecology in Newport News, VA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
83.77/100
CMS Quality Rating
11842 ROCK LANDING DR STE 115, NEWPORT NEWS, VA 23606(757) 505-9905(757) 595-5377 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy Edwina O'connell M.d. NPPES

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

KATHY EDWINA O'CONNELL M.D. (NPI 1114939980) is an individual obstetrics & gynecology provider in Newport News, Virginia, licensed in Virginia (0101048159) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Eastern Virginia Medical School (1988).

NPPES Registry Identity

NPI1114939980
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHY EDWINA O'CONNELLCredential: M.D.
Location Address11842 ROCK LANDING DR STE 115Newport News, VA 23606-4437
Mailing Address11842 Rock Landing Dr Ste 115Newport News, VA 23606-4437 · (757) 505-9905 · Fax (757) 595-5377
Fax(757) 595-5377
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1988
Enumeration DateAugust 12, 2006
Last NPPES UpdateJanuary 24, 2020
NPI 1114939980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in VA · 0101048159
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.
11842 ROCK LANDING DR STE 115, Newport News, VA 23606

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

Kathy Edwina 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 ID4486677762
PECOS Enrollment IDI20101028000293
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 5

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.

Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
64 services64 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
15 services15 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.
15 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

83.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.44
Promoting Interoperability100
Improvement Activities40
Cost60.47

Other Providers at the Same Location NPPES 4

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

Physician Assistant
11842 ROCK LANDING DR STE 115
NEWPORT NEWS, VA 23606
Nurse Practitioner (Women's Health)
11842 ROCK LANDING DR STE 115
NEWPORT NEWS, VA 23606
Advanced Practice Midwife
11842 ROCK LANDING DR STE 115
NEWPORT NEWS, VA 23606
Nurse Practitioner (Family)
11842 ROCK LANDING DR STE 115
NEWPORT NEWS, VA 23606

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 Kathy O'connell's NPI number?

The NPI number for Kathy O'connell is 1114939980. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Kathy O'connell located?

Kathy O'connell practices at 11842 Rock Landing Dr Ste 115, Newport News, VA 23606. The listed phone number is (757) 505-9905.

What is Kathy O'connell's specialty?

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

Is Kathy O'connell enrolled in Medicare?

Yes. Kathy 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 Kathy O'connell affiliated with any hospitals?

According to CMS data, Kathy O'connell is affiliated with Riverside Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Kathy O'connell was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.