KEVIN MATTHEW O'CONNOR PA-C
NPI 1225407539
Physician Assistant in Leland, NC

Active since September 16, 2015PECOS EnrolledAccepts Medicare Assignment
509 OLDE WATERFORD WAY, LELAND, NC 28451(704) 293-8836 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Mar 17, 2018, Feb 12, 2018 (3 updates tracked since 2018).

About Kevin Matthew O'connor Pa-c NPPES

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

KEVIN MATTHEW O'CONNOR PA-C (NPI 1225407539) is an individual physician assistant in Leland, North Carolina, licensed in North Carolina (0010-06001) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Novant Health Brunswick Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225407539
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN MATTHEW O'CONNORCredential: PA-C
Location Address509 OLDE WATERFORD WAYLeland, NC 28451-4125
Mailing Address509 Olde Waterford WayLeland, NC 28451-4125 · (704) 293-8836
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2015
Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1225407539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-06001
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
509 OLDE WATERFORD WAY, Leland, NC 28451

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

Kevin Matthew O'connor Pa-c 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 ID7214270511
PECOS Enrollment IDI20251121004083
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.

Hospital Affiliations CMS Care Compare

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

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28451 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Pediatrics
509 OLDE WATERFORD WAY, SUITE 203
LELAND, NC 28451
Dentist (General Practice)
509 OLDE WATERFORD WAY, SUITE 300
LELAND, NC 28451
Pediatrics
509 OLDE WATERFORD WAY, SUITE 203
LELAND, NC 28451
Orthopaedic Surgery
509 OLDE WATERFORD WAY, SUITE 103
LELAND, NC 28451
Family Medicine
509 OLDE WATERFORD WAY, SUITE 101
LELAND, NC 28451
Physician Assistant
509 OLDE WATERFORD WAY, STE 102
LELAND, NC 28451
Internal Medicine
509 OLDE WATERFORD WAY, SUITE 201
LELAND, NC 28451
Dentist (General Practice)
509 OLDE WATERFORD WAY, SUITE 300
LELAND, ND 28451

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 Kevin O'connor's NPI number?

The NPI number for Kevin O'connor is 1225407539. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Kevin O'connor located?

Kevin O'connor practices at 509 Olde Waterford Way, Leland, NC 28451. The listed phone number is (704) 293-8836.

What is Kevin O'connor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin O'connor enrolled in Medicare?

Yes. Kevin 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.

Is Kevin O'connor affiliated with any hospitals?

According to CMS data, Kevin O'connor is affiliated with Novant Health Brunswick Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin O'connor was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.