DR. ERIC O'CONNOR APRN, DNP
NPI 1295277531
Nurse Practitioner - Adult Health in Jewett City, CT

Active since November 16, 2016PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
70 MAIN ST, JEWETT CITY, CT 06351(860) 376-7040 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Eric O'connor Aprn, Dnp NPPES

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

DR. ERIC O'CONNOR APRN, DNP (NPI 1295277531) is an individual adult health provider in Jewett City, Connecticut, licensed in Connecticut (6832) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295277531
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDR. ERIC O'CONNORCredential: APRN, DNP
Location Address70 MAIN STJewett City, CT 06351-2226
Mailing Address70 Main StJewett City, CT 06351-2226 · (860) 376-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 16, 2016
Last NPPES UpdateApril 6, 2018
✔ NPI 1295277531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 6832
70 MAIN ST, Jewett City, CT 06351

Accepted 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. Eric O'connor Aprn, Dnp 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 ID7517248974
PECOS Enrollment IDI20161227001477
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

3

Medicare enrollment records show Eric O'connor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
47 TOWN STREET
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 166 clinicians in this Medicare group
General Acute Care Hospital
28 CRESCENT ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 166 clinicians in this Medicare group
Primary Care
281 MAIN STREET
East Hartford, CT 06118
  • Reassigned Medicare billing, Connecticut enrollment
  • 78 clinicians in this Medicare group

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.

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.
69 services25 patients
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.
64 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06351 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
70 MAIN ST
GRISWOLD, CT 06351
Counselor (Mental Health)
70 MAIN ST
GRISWOLD, CT 06351
Counselor (Professional)
70 MAIN ST
JEWETT CITY, CT 06351
Counselor
70 MAIN ST
GRISWOLD, CT 06351
Social Worker
70 MAIN ST
GRISWOLD, CT 06351
Counselor (Mental Health)
70 MAIN ST
GRISWOLD, CT 06351
Counselor (Addiction (Substance Use Disorder))
70 MAIN ST
GRISWOLD, CT 06351

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 Eric O'connor's NPI number?

The NPI number for Eric O'connor is 1295277531. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Where is Eric O'connor located?

Eric O'connor practices at 70 Main St, Jewett City, CT 06351. The listed phone number is (860) 376-7040.

What is Eric O'connor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Eric O'connor enrolled in Medicare?

Yes. Eric 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 Eric O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric O'connor reassigns Medicare benefits to 3 organizations: United Community And Family Services, Inc. (Norwich, CT), Middlesex Hospital (Middletown, CT) and Intercommunity, Inc. (East Hartford, CT). 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 Eric O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric O'connor accept?

Health plans from Anthem Blue Cross and Blue Shield list Eric 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.

When was this NPI record last updated?

The NPPES record for Eric O'connor was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.