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DR. ALISON THERESA O'BRIEN MD
NPI 1427042571
Family Medicine in Delhi, NY

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
460 ANDES RD, DELHI, NY 13753(607) 746-0550(607) 746-0568 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alison Theresa O'brien Md NPPES

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

DR. ALISON THERESA O'BRIEN MD (NPI 1427042571) is an individual family medicine provider in Delhi, New York, licensed in New York (293347) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1427042571
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALISON THERESA O'BRIENCredential: MD
Location Address460 ANDES RDDelhi, NY 13753-7443
Mailing Address460 Andes RdDelhi, NY 13753-7443 · (607) 746-0550 · Fax (607) 746-0568
Phone(607) 746-0550
Fax(607) 746-0568
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2000
Enumeration DateSeptember 6, 2005
Last NPPES UpdateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1427042571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 293347
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.
460 ANDES RD, Delhi, NY 13753
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Secondary Practice Location 1

Location 1317 Climax St, Hilltop Community Healthcare CenterPittsburgh, PA 15210-1347 · Phone (412) 431-3520 ext. 224 · Fax (412) 431-3525

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

Dr. Alison Theresa O'brien 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.

PECOS PAC ID749240687
PECOS Enrollment IDI20191126002021
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.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services125 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services33 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13753 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers14 claims34 services$5.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 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.

AUSTIN KILMER
Physical Therapist
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0300
MICHAEL NGUYEN M.D.
Family Medicine
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0550
MARY IMOGENE BASSETT HOSPITAL
Clinic/Center (Rural Health)
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0550
MARGARET L WILSON M.D.
Family Medicine
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0550
MRS. OLUWATOMILAYO OLAPEJU DESALU MS, CNS,CDN
Dietary Manager
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0300
KAYLIEGH RIORDAN
Social Worker
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0344
KAREN L GABRIEL F.N.P.
Nurse Practitioner (Family)
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0550
MS. VALERIE HERRMANN MADDALONE FNP-C
Nurse Practitioner (Family)
460 ANDES RD
DELHI, NY 13753
Delaware County (607) 746-0550

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 Alison O'brien's NPI number?

The NPI number for Alison O'brien is 1427042571. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Alison O'brien located?

Alison O'brien practices at 460 Andes Rd, Delhi, NY 13753. The listed phone number is (607) 746-0550.

What is Alison O'brien's specialty?

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

Is Alison O'brien enrolled in Medicare?

Yes. Alison O'brien 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.

Is Alison O'brien affiliated with any hospitals?

According to CMS data, Alison O'brien is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare and O'connor Hospital.

When was this NPI record last updated?

The NPPES record for Alison O'brien was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.