KEVIN PAUL O'CONNOR MD
NPI 1730173279
Urology in Leesburg, VA

Q: What is Kevin O'connor's NPI number?

The NPI number for Kevin O'connor is 1730173279. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Kevin O'connor's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin O'connor was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment

92.61/100

CMS Quality Rating

19415 DEERFIELD AVE STE 112, LEESBURG, VA 20176(703) 724-1195(703) 724-4495 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2022, Sep 27, 2022, May 15, 2020 (3 updates tracked since 2020).

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About Kevin Paul O'connor Md NPPES

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

KEVIN PAUL O'CONNOR MD (NPI 1730173279) is an individual urology provider in Leesburg, Virginia, licensed in Virginia (0101048160) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Georgetown University School Of Medicine (1986).

NPPES Registry Identity

NPI1730173279

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameKEVIN PAUL O'CONNORCredential: MD

Location Address19415 DEERFIELD AVE STE 112Leesburg, VA 20176-8470

Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643

Phone(703) 724-1195

Fax(703) 724-4495

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1986

Enumeration DateSeptember 9, 2005

Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1730173279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in VA · 0101048160

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

19415 DEERFIELD AVE STE 112, Leesburg, VA 20176

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Other Identifiers 3

Other340017904VA · Rr Medicare

Other340017905DC · Rr Medicare

Medicaid1730173279VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Kevin Paul O'connor 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 ID8426037441

PECOS Enrollment IDI20090805000731, I20090903000140

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

Medicare enrollment records show Kevin O'connor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loudoun Medical Group, PC

Same address

Urology

19415 DEERFIELD AVENUE, SUITE 112
Leesburg, VA 20176

Reassigned Medicare billing, Virginia and District of Columbia enrollments
Also billed through NPI 1043334410 (District of Columbia)
291 clinicians in this Medicare group

NPI 1710001102 (703) 724-1195

Gastrointestinal Specialists LLC

103 mi

Gastroenterology

2369 STAPLES MILL RD, SUITE 200
Richmond, VA 23230

Reassigned Medicare billing, District of Columbia and Virginia enrollments
36 clinicians in this Medicare group

NPI 1063516672 (804) 285-4465

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

452 services78 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.

441 services361 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

283 services244 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

263 services210 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

110 services84 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

95 services85 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.

95 services91 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

82 services82 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

27 services15 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

21 services21 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

21 services21 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

92.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

DR. ROSS SHANE LIAO MD

Urology

19415 DEERFIELD AVE STE 112
LEESBURG, VA 20176

Loudoun County (817) 715-8342

MRS. NICOLE CHRISTINE CASH FNP

Nurse Practitioner (Family)

19415 DEERFIELD AVE STE 112
LEESBURG, VA 20176

Loudoun County (703) 724-1195

BRENDAN MICHAEL LINDSEY FNP-C

Nurse Practitioner (Family)

19415 DEERFIELD AVE STE 112
LEESBURG, VA 20176

Loudoun County (703) 724-1195

GASTROINTESTINAL SPECIALISTS LLC

Urology

19415 DEERFIELD AVE STE 112
LEESBURG, VA 20176

Loudoun County (703) 724-1195

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 Kevin O'connor's NPI number?

The NPI number for Kevin O'connor is 1730173279. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Kevin O'connor located?

Kevin O'connor practices at 19415 Deerfield Ave Ste 112, Leesburg, VA 20176. The listed phone number is (703) 724-1195.

What is Kevin O'connor's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kevin O'connor enrolled in Medicare?

Yes. Kevin 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 Kevin O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin O'connor reassigns Medicare benefits to 2 organizations: Loudoun Medical Group, PC (Leesburg, VA) and Gastrointestinal Specialists LLC (Richmond, VA). 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 Kevin O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin O'connor accept?

Health plans from Oscar Health list Kevin 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 Kevin O'connor affiliated with any hospitals?

According to CMS data, Kevin O'connor is affiliated with Winchester Medical Center and Inova Loudoun Hospital.

When was this NPI record last updated?

The NPPES record for Kevin O'connor was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.