BREELIN DAVENPORT O'HARA PA-C
NPI 1619393246
Physician Assistant in Boston, MA

Active since March 06, 2014PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Nov 21, 2019 (2 updates tracked since 2019).

About Breelin Davenport O'hara Pa-c NPPES

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

BREELIN DAVENPORT O'HARA PA-C (NPI 1619393246) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA4934) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains a secondary practice location in South Weymouth.

NPPES Registry Identity

NPI1619393246
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREELIN DAVENPORT O'HARACredential: PA-C
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address125 Parker Hill AveBoston, MA 02120-2847 · (607) 437-9362
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 6, 2014
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1619393246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA4934
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Location 1

Location 155 Fogg RdSouth Weymouth, MA 02190-2432 · Phone (607) 437-9362

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

Breelin Davenport O'hara Pa-c 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 ID6002030418
PECOS Enrollment IDI20140604001849
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 2

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

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 Breelin O'hara's NPI number?

The NPI number for Breelin O'hara is 1619393246. It was assigned to this individual provider in the NPPES registry on March 6, 2014.

Where is Breelin O'hara located?

Breelin O'hara practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Breelin O'hara's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breelin O'hara enrolled in Medicare?

Yes. Breelin O'hara 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 Breelin O'hara affiliated with any hospitals?

According to CMS data, Breelin O'hara is affiliated with North Shore Medical Center - and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Breelin O'hara was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.