DR. RACHEL EILEEN O'BYRNE MD
NPI 1376503151
Family Medicine in Saint Clair Shores, MI
About Dr. Rachel Eileen O'byrne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RACHEL EILEEN O'BYRNE MD (NPI 1376503151) is an individual family medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4301086067) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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. Rachel Eileen O'byrne 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rachel O'byrne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 520 clinicians in this Medicare group
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 101 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 5
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIMclaren Macomb
Acute Care Hospitals · Mount Clemens, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT CLAIR SHORES, MI 48082
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'byrne's NPI number?
The NPI number for Rachel O'byrne is 1376503151. It was assigned to this individual provider in the NPPES registry on March 24, 2006.
Where is Rachel O'byrne located?
Rachel O'byrne practices at 21099 Masonic Blvd, Saint Clair Shores, MI 48082. The listed phone number is (586) 296-6213.
What is Rachel O'byrne's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rachel O'byrne enrolled in Medicare?
Yes. Rachel O'byrne 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 Rachel O'byrne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel O'byrne reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Henry Ford Semi Medical Group (Saint Clair Shores, MI). 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 Rachel O'byrne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel O'byrne accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Rachel O'byrne 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 Rachel O'byrne affiliated with any hospitals?
According to CMS data, Rachel O'byrne is affiliated with Henry Ford Health Hospital, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Mclaren Macomb.
When was this NPI record last updated?
The NPPES record for Rachel O'byrne was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Rachel Eileen O'byrne, MD · NPI 1376503151
Family Medicine physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since March 24, 2006.
## Identity
- **NPI:** 1376503151 (Entity type: Individual)
- **Enumerated:** March 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301086067 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 21099 MASONIC BLVD, Saint Clair Shores, MI 48082-1045
- **Phone:** (586) 296-6213 · **Fax:** (586) 296-8180
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1376820605, Saint Clair Shores, MI); Henry Ford Semi Medical Group (NPI 1366515496, Saint Clair Shores, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 25, 2015
- **Other identifiers:** Medicare PIN MI3971 (MI); Other 700E031610 (MI); Medicare UPIN I16214 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1376503151) · Data from the CMS NPPES public registry.