DR. WILLIAM STEPHEN O'HEARN III MD
NPI 1548753023
Family Medicine in Madisonville, KY

Q: What is William O'hearn's NPI number?

The NPI number for William O'hearn is 1548753023. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Q: What is William O'hearn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William O'hearn was last updated on September 18, 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.

Active since June 11, 2018PECOS EnrolledAccepts Medicare Assignment

2281 RIDGEWOOD DR, MADISONVILLE, KY 42431(860) 235-6512(270) 245-6031 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2025, Aug 4, 2025, Oct 5, 2021 and 1 more (4 updates tracked since 2018).

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About Dr. William Stephen O'hearn Iii Md NPPES

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

DR. WILLIAM STEPHEN O'HEARN III MD (NPI 1548753023) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (54094) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and maintains a secondary practice location in Cadiz.

NPPES Registry Identity

NPI1548753023

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WILLIAM STEPHEN O'HEARN IIICredential: MD

Location Address2281 RIDGEWOOD DRMadisonville, KY 42431-8724

Mailing Address2281 Ridgewood DrMadisonville, KY 42431-8724 · (860) 235-6512

Phone(860) 235-6512

Fax(270) 245-6031

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 11, 2018

Last NPPES UpdateSeptember 18, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1548753023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 54094

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.

2281 RIDGEWOOD DR, Madisonville, KY 42431

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Secondary Practice Location 1

Location 1214 Main StCadiz, KY 42211-9153 · Phone (270) 522-0898

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. William Stephen O'hearn Iii 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 ID8325470503

PECOS Enrollment IDI20191108000186

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 2

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.

34 services29 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181304

Location254 Main StreetCadiz, KY 42211 · Trigg County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 3

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

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

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$17.53 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

1 supplier11 claims11 services$95.49 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

3 suppliers31 claims31 services$186.05 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

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

OHEARN MEDICAL, PLLC

Family Medicine

2281 RIDGEWOOD DR
MADISONVILLE, KY 42431

Hopkins County (270) 263-3052

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 William O'hearn's NPI number?

The NPI number for William O'hearn is 1548753023. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is William O'hearn located?

William O'hearn practices at 2281 Ridgewood Dr, Madisonville, KY 42431. The listed phone number is (860) 235-6512.

What is William O'hearn's specialty?

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

Is William O'hearn enrolled in Medicare?

Yes. William O'hearn 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 William O'hearn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BlueCross BlueShield of Tennessee list William O'hearn 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 William O'hearn affiliated with any hospitals?

According to CMS data, William O'hearn is affiliated with Jennie Stuart Medical Center, Baptist Health Deaconess Madisonville and Trigg County Hospital.

When was this NPI record last updated?

The NPPES record for William O'hearn was last updated on September 18, 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.