DR. THOMAS J O'CONNOR DMD
NPI 1205100914
Dentist - Periodontics in Eglin Afb, FL

Active since February 27, 2012PECOS Enrolled
340 BOATNER RD BLDG 2751, EGLIN AFB, FL 32542(850) 883-8816 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 16, 2026, Aug 7, 2023, Jun 8, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Thomas J O'connor Dmd NPPES

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

DR. THOMAS J O'CONNOR DMD (NPI 1205100914) is an individual periodontics provider in Eglin Afb, Florida, licensed in Pennsylvania (DS040431) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205100914
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. THOMAS J O'CONNORCredential: DMD
Location Address340 BOATNER RD BLDG 2751Eglin Afb, FL 32542-1391
Mailing Address340 Boatner Rd Bldg 2751Eglin Afb, FL 32542-1391 · (850) 883-8816
Sole ProprietorNo
Enumeration DateFebruary 27, 2012
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1205100914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in PA · DS040431
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 62002 (CA), DS040431 (PA)
340 BOATNER RD BLDG 2751, Eglin Afb, FL 32542

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thomas J O'connor Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32542 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 11

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

Dentist
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542
Dentist
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542
Dentist (General Practice)
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542
Dentist
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542
Dentist
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542
Dentist
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542
Dentist (Orthodontics and Dentofacial Orthopedics)
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542
Dentist
340 BOATNER RD BLDG 2751
EGLIN AFB, FL 32542

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 Thomas O'connor's NPI number?

The NPI number for Thomas O'connor is 1205100914. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Thomas O'connor located?

Thomas O'connor practices at 340 Boatner Rd Bldg 2751, Eglin Afb, FL 32542. The listed phone number is (850) 883-8816.

What is Thomas O'connor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Thomas O'connor enrolled in Medicare?

Yes. Thomas O'connor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas O'connor was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.