SHANE O'BRIEN M.D.
NPI 1366976524
Pediatrics in Rochester, NY

Q: What is Shane O'brien's NPI number?

The NPI number for Shane O'brien is 1366976524. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Q: What is Shane O'brien's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shane O'brien was last updated on July 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 14, 2017PECOS Enrolled

1455 E RIDGE RD, ROCHESTER, NY 14621(585) 922-2575(585) 922-5033 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2020, Apr 14, 2017 (2 updates tracked since 2017).

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About Shane O'brien M.d. NPPES

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

SHANE O'BRIEN M.D. (NPI 1366976524) is an individual pediatrics provider in Rochester, New York, licensed in New York (303137) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1366976524

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSHANE O'BRIENCredential: M.D.

Location Address1455 E RIDGE RDRochester, NY 14621-2006

Mailing Address1455 E Ridge RdRochester, NY 14621-2006 · (585) 922-2575 · Fax (585) 922-5033

Phone(585) 922-2575

Fax(585) 922-5033

Sole ProprietorNo

Enumeration DateApril 14, 2017

Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration

NPPES CertifiedJuly 1, 2020

✔ NPI 1366976524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 303137

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1455 E RIDGE RD, Rochester, NY 14621

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Secondary Practice Location 1

Location 1601 Elmwood AveRochester, NY 14642-0001 · Phone (585) 275-4174

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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.

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