DR. JOHN C O'CONNOR M.D.
NPI 1184600512
Family Medicine - Sports Medicine in Bellefontaine, OH

Q: What is John O'connor's NPI number?

The NPI number for John O'connor is 1184600512. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is John O'connor's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for John O'connor was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment

87.65/100

CMS Quality Rating

2211 TIMBER TRL, BELLEFONTAINE, OH 43311(937) 592-3808(937) 593-8404 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, Jul 3, 2023 (2 updates tracked since 2023).

On this page

About Dr. John C O'connor M.d. NPPES

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

DR. JOHN C O'CONNOR M.D. (NPI 1184600512) is an individual sports medicine provider in Bellefontaine, Ohio, licensed in Ohio (35-067068) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of University Of Toledo College Of Medicine (1993).

NPPES Registry Identity

NPI1184600512

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JOHN C O'CONNORCredential: M.D.

Location Address2211 TIMBER TRLBellefontaine, OH 43311-9036

Mailing Address2211 Timber TrlBellefontaine, OH 43311-9036 · (937) 592-3808 · Fax (937) 593-8404

Phone(937) 592-3808

Fax(937) 593-8404

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1993

Enumeration DateDecember 19, 2005

Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1184600512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in OH · 35-067068

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.067068 (OH)

2211 TIMBER TRL, Bellefontaine, OH 43311

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. John C O'connor 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 ID6204723398

PECOS Enrollment IDI20040324000838

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 Reassignments

Medicare enrollment records show John O'connor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maple Leaf Family And Sports Medicine, LLC

Same address

Family Medicine

2211 TIMBER TRAIL
Bellefontaine, OH 43311

Reassigned Medicare billing, Ohio enrollment
6 clinicians in this Medicare group

NPI 1447328067 (937) 592-3808

Emergency Professional Services, Inc.

99 mi

Emergency Medicine

230 MEDICAL CENTER DR
Seaman, OH 45679

Reassigned Medicare billing, Ohio enrollment
894 clinicians in this Medicare group

NPI 1093762353 (937) 386-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

529 services253 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.

375 services224 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.

135 services135 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

124 services61 patients

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.

119 services108 patients

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.

118 services118 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

102 services25 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.

64 services64 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.

47 services47 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.

45 services45 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.

43 services33 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

34 services24 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

23 services21 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

18 services17 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.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Marysville, OH

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360092

Location500 London AvenueMarysville, OH 43040 · Union County

Emergency services Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360197

Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County

Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number361315

Location921 East Franklin StreetKenton, OH 43326 · Hardin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43311 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

87.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.45

Promoting Interoperability

96.03

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers72 claims138 services$5.47 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers46 claims46 services$0.99 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers23 claims23 services$20.35 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers11 claims11 services$48.14 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers14 claims14 services$58.47 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers33 claims33 services$111.94 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 3

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

DR. KRISTEN THEOBALD BRAIG MD

Family Medicine

2211 TIMBER TRL, MAPLE LEAF FAMILY AND SPORTS MEDICINE
BELLEFONTAINE, OH 43311

Logan County (937) 592-3808

SAMUEL BARNARD

Physician Assistant

2211 TIMBER TRL
BELLEFONTAINE, OH 43311

Logan County (937) 592-3808

DR. BOYD CLIFFORD HODDINOTT MD

Family Medicine (Sports Medicine)

2211 TIMBER TRL
BELLEFONTAINE, OH 43311

Logan County (937) 592-3808

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 John O'connor's NPI number?

The NPI number for John O'connor is 1184600512. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is John O'connor located?

John O'connor practices at 2211 Timber Trl, Bellefontaine, OH 43311. The listed phone number is (937) 592-3808.

What is John O'connor's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is John O'connor enrolled in Medicare?

Yes. John O'connor 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 organizations bill Medicare for John O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John O'connor reassigns Medicare benefits to 2 organizations: Maple Leaf Family And Sports Medicine, LLC (Bellefontaine, OH) and Emergency Professional Services, Inc. (Seaman, OH). Each 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 John O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John O'connor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list John O'connor 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 John O'connor affiliated with any hospitals?

According to CMS data, John O'connor is affiliated with Mercy Health-St Rita's Medical Center, Ohio State University State Health System, Memorial Hospital, Mary Rutan Hospital and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John O'connor was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.