RACHEL O'BRIEN
NPI 1316557093
Nurse Practitioner - Family in North Syracuse, NY

Active since August 06, 2020PECOS EnrolledAccepts Medicare Assignment
86.47/100
CMS Quality Rating
5496 E TAFT RD STE A, NORTH SYRACUSE, NY 13212(315) 552-6700(315) 552-6701 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rachel O'brien NPPES

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

RACHEL O'BRIEN (NPI 1316557093) is an individual family provider in North Syracuse, New York, licensed in New York (346328) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of State University Of Ny Upstate Medical University (2020).

NPPES Registry Identity

NPI1316557093
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL O'BRIEN
Location Address5496 E TAFT RD STE ANorth Syracuse, NY 13212-3780
Mailing AddressPo Box 510Syracuse, NY 13214-0510 · (315) 703-3484 · Fax (315) 703-3487
Fax(315) 552-6701
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2020
Enumeration DateAugust 6, 2020
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1316557093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 346328
5496 E TAFT RD STE A, North Syracuse, NY 13212

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

Rachel O'brien 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 ID4385054311
PECOS Enrollment IDI20201103002154
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 2

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.
167 services140 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.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13212 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

86.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.85
Promoting Interoperability100
Improvement Activities40
Cost50.56

Referred Medical Equipment & Supplies CMS DME claims 7

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers23 claims34 services$9.39 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier14 claims280 services$3.35 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers32 claims680 services$4.90 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers12 claims180 services$8.45 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers26 claims385 services$5.69 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
2 suppliers30 claims450 services$3.46 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 4

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

Nurse Practitioner (Family)
5496 E TAFT RD STE A
NORTH SYRACUSE, NY 13212
Nurse Practitioner (Family)
5496 E TAFT RD STE A
NORTH SYRACUSE, NY 13212
Nurse Practitioner (Acute Care)
5496 E TAFT RD STE A
NORTH SYRACUSE, NY 13212
Nurse Practitioner (Family)
5496 E TAFT RD STE A
NORTH SYRACUSE, NY 13212

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 Rachel O'brien's NPI number?

The NPI number for Rachel O'brien is 1316557093. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Rachel O'brien located?

Rachel O'brien practices at 5496 E Taft Rd Ste A, North Syracuse, NY 13212. The listed phone number is (315) 552-6700.

What is Rachel O'brien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel O'brien enrolled in Medicare?

Yes. Rachel 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.

Is Rachel O'brien affiliated with any hospitals?

According to CMS data, Rachel O'brien is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Rachel O'brien was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.