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KEVIN O'REILLY
NPI 1396229811
Nurse Practitioner - Psychiatric/Mental Health in Maryville, TN

Active since September 20, 2018PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
405 ELLIS AVE, MARYVILLE, TN 37804(865) 980-5377(865) 980-5376 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2023, Jan 11, 2022, Oct 22, 2021 and 1 more (4 updates tracked since 2018).

About Kevin O'reilly NPPES

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

KEVIN O'REILLY (NPI 1396229811) is an individual psychiatric/mental health provider in Maryville, Tennessee, licensed in Tennessee (24725) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1396229811
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKEVIN O'REILLY
Location Address405 ELLIS AVEMaryville, TN 37804-5823
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(865) 980-5377
Fax(865) 980-5376
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2018
Enumeration DateSeptember 20, 2018
Last NPPES UpdateOctober 29, 20254 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1396229811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 24725
405 ELLIS AVE, Maryville, TN 37804
Open in Google Maps ↗

Secondary Practice Location 1

Location 1907 E Lamar Alexander PkwyMaryville, TN 37804-5015 · Phone (865) 981-2300 · Fax (865) 981-2302

Other Identifiers 1

MedicaidQ044395TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Kevin O'reilly 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 ID4981948916
PECOS Enrollment IDI20181203001974
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

3

Medicare enrollment records show Kevin O'reilly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blount Memorial Physician Group, Inc
0.9 mi
Family Medicine
266 JOULE ST
Alcoa, TN 37701
  • Reassigned Medicare billing, Tennessee enrollment
  • 295 clinicians in this Medicare group
NPI 1699710194 (865) 984-3864
Nashville Tms PLLC
12 mi
Neurology
214 S PETERS RD STE 102
Knoxville, TN 37923
  • Reassigned Medicare billing, Tennessee enrollment
  • 8 clinicians in this Medicare group
NPI 1710645882 (615) 465-4875
Dowell Springs Behavioral Health, LLC
14 mi
Psychiatric Hospital
1444 OLD WEISGARBER ROAD
Knoxville, TN 37909
  • Reassigned Medicare billing, Tennessee enrollment
  • 27 clinicians in this Medicare group
NPI 1255908174 (615) 861-6000

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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
106 services32 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 5

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

KRISTIN HILL R.N.
Nurse Practitioner (Psychiatric/Mental Health)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
DR. KELLY NOEL OWNBY M.D.
Psychiatry & Neurology (Psychiatry)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
VERONICA MANAOIS GUBATAN MD
Psychiatry & Neurology (Psychiatry)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
MS. BROOKE BORLA CHALMERS P.A.
Physician Assistant (Medical)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
DR. SALLY SUZANNE BENTON MD
Psychiatry & Neurology (Psychiatry)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377

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 Kevin O'reilly's NPI number?

The NPI number for Kevin O'reilly is 1396229811. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Kevin O'reilly located?

Kevin O'reilly practices at 405 Ellis Ave, Maryville, TN 37804. The listed phone number is (865) 980-5377.

What is Kevin O'reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kevin O'reilly enrolled in Medicare?

Yes. Kevin O'reilly 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 Kevin O'reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin O'reilly reassigns Medicare benefits to 3 organizations: Blount Memorial Physician Group, Inc (Alcoa, TN), Nashville Tms PLLC (Knoxville, TN) and Dowell Springs Behavioral Health, LLC (Knoxville, TN). 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 Kevin O'reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin O'reilly accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Kevin O'reilly 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 Kevin O'reilly affiliated with any hospitals?

According to CMS data, Kevin O'reilly is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin O'reilly was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.