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JOHN A O'CONNOR IV M.D.
NPI 1649245770
Obstetrics & Gynecology in Cincinnati, OH

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
222 PIEDMONT AVE, CINCINNATI, OH 45219(513) 475-8588(513) 475-8598 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2017, Nov 24, 2015 (2 updates tracked since 2015).

About John A O'connor Iv M.d. NPPES

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

JOHN A O'CONNOR IV M.D. (NPI 1649245770) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (35 125599) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1988).

NPPES Registry Identity

NPI1649245770
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN A O'CONNOR IVCredential: M.D.
Location Address222 PIEDMONT AVECincinnati, OH 45219-4231
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-0001 · (513) 585-5505 · Fax (513) 585-5511
Phone(513) 475-8588
Fax(513) 475-8598
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1988
Enumeration DateFebruary 22, 2006
Last NPPES UpdateNovember 17, 20172 updates tracked since enumeration
✔ NPI 1649245770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35 125599
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 35 125599 (OH), H6479 (TX)
222 PIEDMONT AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 5

Medicare PINH446090OH
Medicare ID-Type Unspecified8176B0TX
Medicaid148480001TX
Medicare UPINF55897TX
Medicaid0119064OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John A O'connor Iv M.d. 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 ID5294800876
PECOS Enrollment IDI20150304001471
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 Reassignments

3

Medicare enrollment records show John O'connor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Cincinnati Physicians Company, LLC
0.1 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000
Obhg Texas Holdings, P.A.
960 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289
Lone Star Ob/Gyn Associates, P.A.
1,041 mi
Obstetrics & Gynecology
7950 FLOYD CURL DR, SUITE 300 & 400
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
NPI 1063441921 (210) 615-6505

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 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

BERNICE K KLABEN PH.D.-CCC-SLP-BRS-S
Speech-Language Pathologist
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-8400
BARBARA RUTH CUNNINGHAM RN
Allergy & Immunology (Clinical & Laboratory Immunology)
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Hamilton County (513) 475-8400
MRS. CHERYL DOREEN HERRLE CNP
Nurse Practitioner (Gerontology)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7400
REBECCA HARDT CNP
Nurse Practitioner (Adult Health)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7505
MRS. RONDA BAUER
Licensed Practical Nurse
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Hamilton County (513) 475-7363
CARRIE LYNN JENNINGS CNP
Nurse Practitioner (Family)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7505
ALBERTO ESPAY MD
Psychiatry & Neurology (Neurology)
222 PIEDMONT AVE, SUITE 3200
CINCINNATI, OH 45219
Hamilton County (513) 475-8730
GREGORY WAYNE ROUAN M.D.
Internal Medicine
222 PIEDMONT AVE, STE 6000
CINCINNATI, OH 45219
Hamilton County (513) 475-7880

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'connor's NPI number?

The NPI number for John O'connor is 1649245770. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is John O'connor located?

John O'connor practices at 222 Piedmont Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8588.

What is John O'connor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John O'connor enrolled in Medicare?

Yes. John O'connor 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.

Which organizations bill Medicare for John O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John O'connor reassigns Medicare benefits to 3 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH), Obhg Texas Holdings, P.A. (Austin, TX) and Lone Star Ob/Gyn Associates, P.A. (San Antonio, TX). Each 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 John O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John O'connor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 5 other insurers list John O'connor 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 John O'connor was last updated on November 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.