DR. THOMAS W O'BRIEN MD
NPI 1396700803
Internal Medicine - Pulmonary Disease in Kissimmee, FL

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

The NPI number for Thomas O'brien is 1396700803. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Thomas O'brien was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 18, 2006PECOS Enrolled

96.27/100

CMS Quality Rating

1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741(407) 933-1221(407) 933-0747 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Thomas W O'brien Md NPPES

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

DR. THOMAS W O'BRIEN MD (NPI 1396700803) is an individual pulmonary disease provider in Kissimmee, Florida, licensed in Florida (0056928) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396700803

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. THOMAS W O'BRIENCredential: MD

Location Address1121 N CENTRAL AVE, SUITE BKissimmee, FL 34741-4405

Mailing Address1121 N Central Ave, Suite BKissimmee, FL 34741-4405 · (407) 933-1221 · Fax (407) 933-0747

Phone(407) 933-1221

Fax(407) 933-0747

Sole ProprietorYes

Enumeration DateApril 18, 2006

Last NPPES UpdateFebruary 9, 2018

✔ NPI 1396700803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · 0056928

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0056928 (FL)

1121 N CENTRAL AVE, Kissimmee, FL 34741

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Other Identifiers 1

Medicaid52669000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas W O'brien Md 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 34741 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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.

96.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.55

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

28 suppliers320 claims320 services$32.98 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

20 suppliers160 claims160 services$77.34 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

20 suppliers156 claims418 services$30.53 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

19 suppliers154 claims852 services$15.94 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

17 suppliers122 claims693 services$12.70 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

27 suppliers295 claims295 services$46.49 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

29 suppliers263 claims263 services$13.93 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

10 suppliers25 claims25 services$8.74 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

20 suppliers96 claims96 services$10.40 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

32 suppliers413 claims2,367 services$1.73 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

18 suppliers70 claims70 services$5.16 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

21 suppliers191 claims191 services$10.45 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers34 claims38 services$14.12 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers11 claims11 services$39.02 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers32 claims32 services$75.30 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

11 suppliers42 claims42 services$127.18 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers30 claims31 services$10.93 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers26 claims27 services$3.94 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

18 suppliers323 claims330 services$32.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

14 suppliers190 claims206 services$67.68 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

8 suppliers85 claims85 services$29.60 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers21 claims1,110 services$4.68 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers41 claims8,350 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims570 services$0.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

4 suppliers20 claims20 services$29.46 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

9 suppliers63 claims63 services$24.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 10

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

TREE OF LIFE INFUSION AND WELLNESS LLC

Nurse Practitioner (Adult Health)

1121 N CENTRAL AVE
KISSIMMEE, FL 34741

Osceola County (407) 973-7689

DR. ADAM L GRIGGS D.O.

Internal Medicine (Pulmonary Disease)

1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741

Osceola County (407) 933-1221

DR. JOSEPH ITODO AMEH M.D.

Internal Medicine (Pulmonary Disease)

1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741

Osceola County (407) 933-1221

REMBERTO JOSE BITAR M.D.

Internal Medicine (Pulmonary Disease)

1121 N CENTRAL AVE
KISSIMMEE, FL 34741

Osceola County (407) 933-1221

SUSAN METCALF ARNP

Nurse Practitioner

1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741

Osceola County (407) 933-1221

ROSITA RODRIGUEZ AGPCNP-BC

Nurse Practitioner (Gerontology)

1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741

Osceola County (407) 933-1221

DR. JAMES ANTHONY LUCIO M.D.

Internal Medicine (Critical Care Medicine)

1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741

Osceola County (407) 933-1221

PULMONARY DISEASE SPECIALISTS, PA

Internal Medicine (Pulmonary Disease)

1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741

Osceola County (407) 933-1221

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 Thomas O'brien's NPI number?

The NPI number for Thomas O'brien is 1396700803. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Thomas O'brien located?

Thomas O'brien practices at 1121 N Central Ave Suite B, Kissimmee, FL 34741. The listed phone number is (407) 933-1221.

What is Thomas O'brien's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas O'brien enrolled in Medicare?

Yes. Thomas O'brien is registered in the Medicare PECOS enrollment system.

What insurance does Thomas O'brien accept?

Health plans from AvMed and Wellpoint list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas O'brien was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.