ROBERT WALTER O'CONNOR M.D.
NPI 1265589774
Orthopaedic Surgery in Gainesville, FL

Active since January 05, 2007PECOS Enrolled
97.45/100
CMS Quality Rating
4500 NEWBERRY RD, GAINESVILLE, FL 32607(352) 336-6000 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2022, Jul 8, 2020 (2 updates tracked since 2020).

About Robert Walter O'connor M.d. NPPES

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

ROBERT WALTER O'CONNOR M.D. (NPI 1265589774) is an individual orthopaedic surgery provider in Gainesville, Florida, licensed in Florida (ME151430) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2002).

NPPES Registry Identity

NPI1265589774
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT WALTER O'CONNORCredential: M.D.
Location Address4500 NEWBERRY RDGainesville, FL 32607-2245
Mailing AddressPo Box 748249Atlanta, GA 30374-8249 · (352) 336-6000
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2002
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJune 10, 20222 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
NPI 1265589774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · ME151430 Licensed in AZ · 40469 Licensed in VA · 0101241018 Licensed in CT · 047438
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4500 NEWBERRY RD, Gainesville, FL 32607

Other Identifiers 1

OtherCN1748AZ · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert Walter O'connor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103918693
PECOS Enrollment IDI20210903002578
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 21

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 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.
314 services263 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
249 services243 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
225 services190 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.
152 services100 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
106 services95 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
106 services84 patients

Hospital Affiliations CMS Care Compare 3

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32607 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.

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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$21.37 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$7.90 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier21 claims21 services$219.98 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 20

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

Internal Medicine (Sports Medicine)
4500 NEWBERRY RD
GAINESVILLE, FL 32607
Physical Therapist
4500 NEWBERRY RD
GAINESVILLE, FL 32607
Orthopaedic Surgery
4500 NEWBERRY RD
GAINESVILLE, FL 32607
Family Medicine (Sports Medicine)
4500 NEWBERRY RD
GAINESVILLE, FL 32607
Orthopaedic Surgery (Sports Medicine)
4500 NEWBERRY RD
GAINESVILLE, FL 32607
Occupational Therapist
4500 NEWBERRY RD
GAINESVILLE, FL 32607
Occupational Therapist
4500 NEWBERRY RD
GAINESVILLE, FL 32607
Physical Medicine & Rehabilitation
4500 NEWBERRY RD
GAINESVILLE, FL 32607

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 Robert O'connor's NPI number?

The NPI number for Robert O'connor is 1265589774. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Robert O'connor located?

Robert O'connor practices at 4500 Newberry Rd, Gainesville, FL 32607. The listed phone number is (352) 336-6000.

What is Robert O'connor's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert O'connor enrolled in Medicare?

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

What insurance does Robert O'connor accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Robert 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 Robert O'connor affiliated with any hospitals?

According to CMS data, Robert O'connor is affiliated with Uf Health Shands Hospital, Hca Florida Lake City Hospital and Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Robert O'connor was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.