JOHN M O'BRIEN MD
NPI 1528078748
Obstetrics & Gynecology - Maternal & Fetal Medicine in Lexington, KY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE STREET, ROOM C-368, LEXINGTON, KY 40536(859) 257-9000 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John M O'brien Md NPPES

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

JOHN M O'BRIEN MD (NPI 1528078748) is an individual maternal & fetal medicine provider in Lexington, Kentucky, licensed in Kentucky (30453) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Wayne State University School Of Medicine (1988).

NPPES Registry Identity

NPI1528078748
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameJOHN M O'BRIENCredential: MD
Location Address800 ROSE STREET, ROOM C-368Lexington, KY 40536-0293
Mailing Address800 Rose Street, Room C-368Lexington, KY 40536-0293 · (859) 218-0765 · Fax (859) 218-7436
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1988
Enumeration DateAugust 9, 2006
Last NPPES UpdateMay 11, 2022
NPPES CertifiedMay 11, 2022
NPI 1528078748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in KY · 30453
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedSpecialistTaxonomy 174400000X · License 30453 (KY)
800 ROSE STREET, Lexington, KY 40536

Other Identifiers 1

Medicaid64304538KY

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

John M 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 ID7719031053
PECOS Enrollment IDI20090820000381
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.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE STREET
LEXINGTON, KY 40536
Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, MN 275
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Radiology (Neuroradiology)
800 ROSE STREET, ROOM HX-319A
LEXINGTON, KY 40536
Hospitalist
800 ROSE STREET
LEXINGTON, KY 40536

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 John O'brien's NPI number?

The NPI number for John O'brien is 1528078748. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is John O'brien located?

John O'brien practices at 800 Rose Street Room C-368, Lexington, KY 40536. The listed phone number is (859) 257-9000.

What is John O'brien's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is John O'brien enrolled in Medicare?

Yes. John 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 John O'brien accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list John 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 John O'brien affiliated with any hospitals?

According to CMS data, John O'brien is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for John O'brien was last updated on May 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.