BENJAMIN T O'CONNELL D.O.
NPI 1386930493
Family Medicine in Jacksonville, FL

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-7372(904) 308-2908 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin T O'connell D.o. NPPES

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

BENJAMIN T O'CONNELL D.O. (NPI 1386930493) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (UO 2893) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2011).

NPPES Registry Identity

NPI1386930493
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN T O'CONNELLCredential: D.O.
Location Address2627 RIVERSIDE AVEJacksonville, FL 32204-4712
Mailing Address2627 Riverside AveJacksonville, FL 32204-4712 · (904) 308-7372 · Fax (904) 308-2908
Fax(904) 308-2908
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2011
Enumeration DateJune 27, 2011
NPI 1386930493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · UO 2893
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2627 RIVERSIDE AVE, Jacksonville, FL 32204

Accepted Insurance

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

Benjamin T O'connell D.o. 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 ID3173742285
PECOS Enrollment IDI20140922001361, I20251222000696
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 32204 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
77%155 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
56%244 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
77%345 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 33% · 33 patients
Patients 4MonthsOfStart: 75% · 28 patients
24%37 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%138 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%5,074 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
25%506 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%317 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
76%812 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%812 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%812 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%812 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims23 services$3.73 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.

Physical Therapist
2627 RIVERSIDE AVE, 3RD FLOOR
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Physical Therapist
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Physical Therapist (Orthopedic)
2627 RIVERSIDE AVE, SUITE 300
JACKSONVILLE, FL 32204
Family Medicine
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204

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 Benjamin O'connell's NPI number?

The NPI number for Benjamin O'connell is 1386930493. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Benjamin O'connell located?

Benjamin O'connell practices at 2627 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.

What is Benjamin O'connell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin O'connell enrolled in Medicare?

Yes. Benjamin O'connell 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.

What insurance does Benjamin O'connell accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Benjamin O'connell 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.

When was this NPI record last updated?

The NPPES record for Benjamin O'connell was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.