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DR. JAMES E. O'BRIEN JR. M.D.
NPI 1528017746
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kansas City, MO

Active since May 06, 2006PECOS Enrolled
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James E. O'brien Jr. M.d. NPPES

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

DR. JAMES E. O'BRIEN JR. M.D. (NPI 1528017746) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Kansas City, Missouri, licensed in Missouri (2001013807) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528017746
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JAMES E. O'BRIEN JR.Credential: M.D.
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 234-3580
Phone(816) 234-3000
Fax(816) 302-9939
Sole ProprietorNo
Enumeration DateMay 6, 2006
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1528017746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in MO · 2001013807✔ Licensed in KS · 0436344
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2401 GILLHAM RD, Kansas City, MO 64108
Open in Google Maps ↗

Other Identifiers 1

Medicaid205353402MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James E. O'brien Jr. M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show James O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Children's Mercy Hospital
Same address
Pediatrics
2401 GILLHAM RD
Kansas City, MO 64108
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: The Childrens Mercy Hospital
  • 603 clinicians in this Medicare group
NPI 1851437719 (816) 234-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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
$168.52 typical visit price
range $55.29 – $168.52
Typical copayment $42.13 (range $13.82 – $42.13)
Most-billed visit code 99205
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RYAN A ROMANS MD
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
JENNIFER BITNER MSN, APRN, FNP-C
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (913) 234-3000
SAMIRA NAIME M.D.
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MICHELLE RENEE MIDDLETON AU.D.
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Jackson County (816) 960-4009
MRS. SHERILYN KELLY APRN
Nurse Practitioner (Neonatal, Critical Care)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MADALYN NICOLE SINGLETON DO
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
EMMA LYNNE WORLEY CAA
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
DR. FAYTH WALBRIDGE PHD
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (308) 655-0842

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 James O'brien's NPI number?

The NPI number for James O'brien is 1528017746. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is James O'brien located?

James O'brien practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is James O'brien's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James O'brien enrolled in Medicare?

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

Which organization bills Medicare for James O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James O'brien reassigns Medicare benefits to The Children's Mercy Hospital (Kansas City, MO). The 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 James O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James O'brien accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list James 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 James O'brien was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.