BARBARA ANNE O'BRIEN DO
NPI 1437211794
Family Medicine - Adult Medicine in Ellisville, MO

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
225 CLARKSON RD, ELLISVILLE, MO 63011(636) 685-7715(314) 590-5916 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Barbara Anne O'brien Do NPPES

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

BARBARA ANNE O'BRIEN DO (NPI 1437211794) is an individual adult medicine provider in Ellisville, Missouri, licensed in Missouri (2003000621) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2000).

NPPES Registry Identity

NPI1437211794
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameBARBARA ANNE O'BRIENCredential: DO
Location Address225 CLARKSON RDEllisville, MO 63011-2278
Mailing Address225 Clarkson RdEllisville, MO 63011-2278 · (636) 230-5050 · Fax (636) 230-5057
Fax(314) 590-5916
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2000
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 16, 2018
NPI 1437211794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in MO · 2003000621
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
225 CLARKSON RD, Ellisville, MO 63011

Other Identifiers 10

Other00000001482Essence
Other8008001Cigna
Other000000014182MO · Essence
Other322212Ghp
Other036117870IL · Bcbs Il
Other182228MO · Bcbs
Medicaid209258102MO
Other2312375Uhc
Other633328Healthlink
Other7432465Aetna

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

Barbara Anne O'brien Do 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 ID4688573389
PECOS Enrollment IDI20031231000671, I20070503000043
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 14

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.
310 services200 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
183 services183 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.
113 services89 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
55 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services46 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
45 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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
10 suppliers39 claims95 services$5.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims15 services$1.01 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 13

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

Nurse Practitioner
225 CLARKSON RD
ELLISVILLE, MO 63011
Family Medicine
225 CLARKSON RD
ELLISVILLE, MO 63011
Family Medicine
225 CLARKSON RD
ELLISVILLE, MO 63011
Clinic/Center (Primary Care)
225 CLARKSON RD
ELLISVILLE, MO 63011
Physician Assistant
225 CLARKSON RD
ELLISVILLE, MO 63011
Family Medicine
225 CLARKSON RD
ELLISVILLE, MO 63011
Nurse Practitioner (Family)
225 CLARKSON RD
ELLISVILLE, MO 63011
Nurse Practitioner (Family)
225 CLARKSON RD
BALLWIN, MO 63011

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 Barbara O'brien's NPI number?

The NPI number for Barbara O'brien is 1437211794. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Barbara O'brien located?

Barbara O'brien practices at 225 Clarkson Rd, Ellisville, MO 63011. The listed phone number is (636) 685-7715.

What is Barbara O'brien's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Barbara O'brien enrolled in Medicare?

Yes. Barbara 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.

What insurance does Barbara O'brien accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Barbara 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.

Is Barbara O'brien affiliated with any hospitals?

According to CMS data, Barbara O'brien is affiliated with Mercy Hospital St Louis, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Barbara O'brien was last updated on July 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.