DR. JACK R O'BRIEN MD
NPI 1215594312
Family Medicine in Des Moines, IA

Q: What is Jack O'brien's NPI number?

The NPI number for Jack O'brien is 1215594312. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Q: What is Jack O'brien's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack O'brien was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment

1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-5640(515) 282-2332 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Jack R O'brien Md NPPES

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

DR. JACK R O'BRIEN MD (NPI 1215594312) is an individual family medicine provider in Des Moines, Iowa, licensed in Iowa (R-11519) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215594312

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACK R O'BRIENCredential: MD

Location Address1801 HICKMAN RDDes Moines, IA 50314-1505

Mailing Address1801 Hickman RdDes Moines, IA 50314-1505 · (515) 282-5640 · Fax (515) 282-2332

Phone(515) 282-5640

Fax(515) 282-2332

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 23, 2019

✔ NPI 1215594312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R-11519

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.

1801 HICKMAN RD, Des Moines, IA 50314

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Medica 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. Jack R O'brien Md 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 ID5890020358

PECOS Enrollment IDI20201020003934

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 Jack O'brien reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Broadlawns Medical Center

Same address

General Acute Care Hospital

1801 HICKMAN RD
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
518 clinicians in this Medicare group

NPI 1467447508 (515) 282-2200

People's Memorial Hospital

100 mi

Rural Health

211 SOUTH STREET WEST
Jesup, IA 50648

Reassigned Medicare billing, Iowa enrollment
Medicare enrollment name: Peoples Memorial Hospital
Also billed through NPI 1265595144 (Iowa), NPI 1518417518 (Iowa)
91 clinicians in this Medicare group

NPI 1386201333 (319) 332-0999

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 3

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

32 services31 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

23 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Buchanan County Health Center

Critical Access Hospitals · Independence, IA

OwnershipGovernment - Local

CMS Certification Number161335

Location1600 First St EastIndependence, IA 50644 · Buchanan County

Emergency services

Mercyone Oelwein Medical Center

Critical Access Hospitals · Oelwein, IA

OwnershipVoluntary non-profit - Church

CMS Certification Number161338

Location201 Eighth Avenue SEOelwein, IA 50662 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

MATTHEW HELMICK WILLIAMS D.O.

Family Medicine

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5640

ALEX YEONWOO KIM DO

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

CAMERON MATTHIAS GREINER DO

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

MARK DYKEN MD

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

KELLI GREEN MD

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314

Polk County (515) 282-2319

KATRINA COEN

Pharmacist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2378

NICOLE RENEE SLIVA OTR/L

Occupational Therapist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5621

GARY HUDSON PA-C

Physician Assistant

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2319

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 Jack O'brien's NPI number?

The NPI number for Jack O'brien is 1215594312. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Jack O'brien located?

Jack O'brien practices at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-5640.

What is Jack O'brien's specialty?

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

Is Jack O'brien enrolled in Medicare?

Yes. Jack O'brien 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 Jack O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack O'brien reassigns Medicare benefits to 2 organizations: Broadlawns Medical Center (Des Moines, IA) and People's Memorial Hospital (Jesup, IA). 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 Jack O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack O'brien accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Medica and Wellmark Health Plan of Iowa, Inc. list Jack O'brien 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 Jack O'brien affiliated with any hospitals?

According to CMS data, Jack O'brien is affiliated with Allen Hospital, Buchanan County Health Center and Mercyone Oelwein Medical Center.

When was this NPI record last updated?

The NPPES record for Jack O'brien was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.