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DR. KEVIN PATRICK O'HALLORAN MD
NPI 1316243538
Orthopaedic Surgery in Panama City, FL

Active since February 04, 2011PECOS EnrolledAccepts Medicare Assignment
2943 HIGHWAY 77, PANAMA CITY, FL 32405(850) 914-7060(850) 914-7065 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, May 9, 2018 (2 updates tracked since 2018).

About Dr. Kevin Patrick O'halloran Md NPPES

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

DR. KEVIN PATRICK O'HALLORAN MD (NPI 1316243538) is an individual orthopaedic surgery provider in Panama City, Florida, licensed in Washington (MD61143141) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Georgetown University School Of Medicine (2009).

NPPES Registry Identity

NPI1316243538
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KEVIN PATRICK O'HALLORANCredential: MD
Location Address2943 HIGHWAY 77Panama City, FL 32405-4411
Mailing Address3015 Squalicum Pkwy, Ste 200Bellingham, WA 98225-1906 · (360) 733-2092 · Fax (360) 788-6042
Phone(850) 914-7060
Fax(850) 914-7065
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2009
Enumeration DateFebruary 4, 2011
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1316243538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · MD61143141
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.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License D77843 (MD), ME130258 (FL)
2943 HIGHWAY 77, Panama City, FL 32405
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Other Identifiers 1

Medicaid019265400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.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. Kevin Patrick O'halloran 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 ID2961719315
PECOS Enrollment IDI20200630002371
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

2

Medicare enrollment records show Kevin O'halloran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.
1,083 mi
General Practice
15350 ENGLISH AVE
Apple Valley, MN 55124
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1073668877 (952) 431-8583
Pocatello Health Services, LLC
1,716 mi
General Acute Care Hospital
777 HOSPITAL WAY
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 190 clinicians in this Medicare group
NPI 1215165485 (208) 239-2065

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 medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services35 patients
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.
35 services23 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.
29 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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.

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'halloran's NPI number?

The NPI number for Kevin O'halloran is 1316243538. It was assigned to this individual provider in the NPPES registry on February 4, 2011.

Where is Kevin O'halloran located?

Kevin O'halloran practices at 2943 Highway 77, Panama City, FL 32405. The listed phone number is (850) 914-7060.

What is Kevin O'halloran's specialty?

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

Is Kevin O'halloran enrolled in Medicare?

Yes. Kevin O'halloran 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 Kevin O'halloran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin O'halloran reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Apple Valley, MN) and Pocatello Health Services, LLC (Pocatello, ID). 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 Kevin O'halloran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin O'halloran accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Kevin O'halloran 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 Kevin O'halloran affiliated with any hospitals?

According to CMS data, Kevin O'halloran is affiliated with Portneuf Medical Center and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin O'halloran was last updated on December 2, 2021. 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.