JOHN J O'CONNOR D.O.
NPI 1649249806
Specialist in Sellersville, PA

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
817 LAWN AVE, SELLERSVILLE, PA 18960(215) 257-5071(215) 257-4378 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2019, Mar 5, 2018 (2 updates tracked since 2018).

About John J O'connor D.o. NPPES

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

JOHN J O'CONNOR D.O. (NPI 1649249806) is an individual specialist in Sellersville, Pennsylvania, licensed in Pennsylvania (OS008988L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Grand View Health, and maintains a secondary practice location in Lansdale.

NPPES Registry Identity

NPI1649249806
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHN J O'CONNORCredential: D.O.
Location Address817 LAWN AVESellersville, PA 18960-1579
Mailing Address815 Sumneytown Pike Ste 210Lansdale, PA 19446-5390 · (215) 257-5071 · Fax (215) 257-1801
Fax(215) 257-4378
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 17, 2006
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
NPI 1649249806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in PA · OS008988L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
817 LAWN AVE, Sellersville, PA 18960

Secondary Practice Location 1

Location 1815 Sumneytown Pike Ste 210Lansdale, PA 19446-5390 · Phone (215) 257-5071 · Fax (215) 257-1801

Other Identifiers 1

Medicaid07705099PA

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 J O'connor D.o. 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 ID6608894282
PECOS Enrollment IDI20120215000316
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 15

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
4,500 services12 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.
264 services226 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
147 services141 patients
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.
126 services113 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
102 services101 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
94 services94 patients

Hospital Affiliations CMS Care Compare 5

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

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%251 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%374 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dermatology (Procedural Dermatology)
817 LAWN AVE
SELLERSVILLE, PA 18960
Clinic/Center
817 LAWN AVE
SELLERSVILLE, PA 18960
Nurse Practitioner (Adult Health)
817 LAWN AVE, SUITE 4
SELLERSVILLE, PA 18960
Internal Medicine
817 LAWN AVE, FALK CLINIC SUITE 700
SELLERSVILLE, PA 18960
Internal Medicine (Pulmonary Disease)
817 LAWN AVE, SUITE 4
SELLERSVILLE, PA 18960
Internal Medicine (Gastroenterology)
817 LAWN AVE
SELLERSVILLE, PA 18960
Internal Medicine (Infectious Disease)
817 LAWN AVE
SELLERSVILLE, PA 18960
Internal Medicine (Gastroenterology)
817 LAWN AVE
SELLERSVILLE, PA 18960

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 1649249806. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is John O'connor located?

John O'connor practices at 817 Lawn Ave, Sellersville, PA 18960. The listed phone number is (215) 257-5071.

What is John O'connor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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.

What insurance does John O'connor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan 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.

Is John O'connor affiliated with any hospitals?

According to CMS data, John O'connor is affiliated with Grand View Health, Hospital Of Univ Of Pennsylvania, Phoenixville Hospital, Paoli Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for John O'connor was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.