1. Home
  2. Directory
  3. Maine
  4. Rockport
  5. Obstetrics Gynecology
  6. NPI Profile

THOMAS J. O'CONNOR III M.D.
NPI 1699872374
Obstetrics & Gynecology in Rockport, ME

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
3 GLEN COVE DR, ROCKPORT, ME 04856(207) 596-8900(207) 593-5296 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas J. O'connor Iii M.d. NPPES

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

THOMAS J. O'CONNOR III M.D. (NPI 1699872374) is an individual obstetrics & gynecology provider in Rockport, Maine, licensed in Maine (013117) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of Tufts University School Of Medicine (1986).

NPPES Registry Identity

NPI1699872374
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTHOMAS J. O'CONNOR IIICredential: M.D.
Location Address3 GLEN COVE DRRockport, ME 04856-4232
Mailing Address3 Glen Cove DrRockport, ME 04856-4232 · (207) 596-8900 · Fax (207) 593-5296
Phone(207) 596-8900
Fax(207) 593-5296
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1986
Enumeration DateSeptember 17, 2006
Last NPPES UpdateSeptember 24, 2010
✔ NPI 1699872374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ME · 013117
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.

3 GLEN COVE DR, Rockport, ME 04856
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedMM4000ME
Medicare UPINF08346

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Thomas J. O'connor Iii 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 ID4183698244
PECOS Enrollment IDI20050628000222
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 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.
34 services18 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
22 services22 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

EVE K HADLEY CNM
Advanced Practice Midwife
3 GLEN COVE DR, SUITE 1
ROCKPORT, ME 04856
Knox County (207) 921-8900
MARIAN LYNNE FREY CNM
Advanced Practice Midwife
3 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 596-8900
ERIN LEIGH MONBERG CNM
Advanced Practice Midwife
3 GLEN COVE DR, SUITE 1
ROCKPORT, ME 04856
Knox County (207) 921-8900
MARK F GARNAAS M.D.
Obstetrics & Gynecology
3 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (406) 544-8051
ELIZABETH A TULIP P.A.
Physician Assistant (Surgical)
3 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 593-5400
CLARA B BUESCHER CNM
Advanced Practice Midwife
3 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 596-8900
SUSAN E HARRIS CNM
Advanced Practice Midwife
3 GLEN COVE DR
ROCKPORT, ME 04856
Knox County (207) 596-8900
PENOBSCOT BAY PHYSICIANS & ASSOCIATES
Clinic/Center (Multi-Specialty)
3 GLEN COVE DR, SUITE 2
ROCKPORT, ME 04856
Knox County (207) 596-8910

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 Thomas O'connor's NPI number?

The NPI number for Thomas O'connor is 1699872374. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Thomas O'connor located?

Thomas O'connor practices at 3 Glen Cove Dr, Rockport, ME 04856. The listed phone number is (207) 596-8900.

What is Thomas O'connor's specialty?

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

Is Thomas O'connor enrolled in Medicare?

Yes. Thomas 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 Thomas O'connor accept?

Health plans from Harvard Pilgrim Health Care list Thomas 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 Thomas O'connor affiliated with any hospitals?

According to CMS data, Thomas O'connor is affiliated with Penobscot Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas O'connor was last updated on September 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.