PATRICK J O'BRIEN MD
NPI 1356374219
Physical Medicine & Rehabilitation in Raleigh, NC

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8779(919) 350-8812 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2024, Feb 29, 2016 (2 updates tracked since 2016).

About Patrick J O'brien Md NPPES

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

PATRICK J O'BRIEN MD (NPI 1356374219) is an individual physical medicine & rehabilitation provider in Raleigh, North Carolina, licensed in North Carolina (39978) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of New York Medical College (1981).

NPPES Registry Identity

NPI1356374219
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NamePATRICK J O'BRIENCredential: MD
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing Address3809 Computer Dr Ste 100Raleigh, NC 27609-6518 · (919) 781-9078 · Fax (919) 719-0147
Fax(919) 350-8812
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1981
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1356374219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in NC · 39978
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Hospice and Palliative MedicineTaxonomy 2081H0002X · License 39978 (NC)
3000 NEW BERN AVE, Raleigh, NC 27610

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

Patrick J O'brien 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 ID1153223367
PECOS Enrollment IDI20040819000709, I20060407000283
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

5

Medicare enrollment records show Patrick O'brien reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 35 clinicians in this Medicare group
Cardiac Rehabilitation
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
General Practice
555 S MANGUM ST STE 100
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group
Internal Medicine
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 338 clinicians in this Medicare group
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 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 9

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
116,500 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,297 services571 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
322 services119 patients
Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity 64643
This procedure involves injecting a special chemical into 1-4 muscles in an arm or leg to temporarily paralyze them. This can help manage pain or muscle disorders. If needed, the process can be repeated on an additional limb.
254 services81 patients
Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642
This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.
182 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
163 services161 patients

Hospital Affiliations CMS Care Compare 5

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

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.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.31
Promoting Interoperability66.75
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 67

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
6 suppliers35 claims35 services$22.03 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims3,740 services$0.06 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
4 suppliers30 claims30 services$4.77 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers15 claims2,760 services$0.63 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers34 claims36 services$9.40 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
1 supplier21 claims420 services$8.46 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 20

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

Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Anesthesiology
3000 NEW BERN AVE
RALEIGH, NC 27610

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 Patrick O'brien's NPI number?

The NPI number for Patrick O'brien is 1356374219. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Patrick O'brien located?

Patrick O'brien practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8779.

What is Patrick O'brien's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Patrick O'brien enrolled in Medicare?

Yes. Patrick 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.

Which organizations bill Medicare for Patrick O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick O'brien reassigns Medicare benefits to 5 organizations: Carolina Rehabilitation And Surgical Associates, PA (Raleigh, NC), Wakemed Specialists Group LLC (Raleigh, NC), Careconnectmd North Carolina P.C. (Durham, NC), Curana Health Of North Carolina PLLC (Durham, NC) and Physicians Eldercare PA (Durham, NC). 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 Patrick O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick O'brien accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Patrick O'brien 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 Patrick O'brien affiliated with any hospitals?

According to CMS data, Patrick O'brien is affiliated with Duke University Hospital, Unc Hospitals, Wakemed, Raleigh Campus, Unc Health Nash and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Patrick O'brien was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.