Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KENNETH PATRICK O'CONNOR PA-C
NPI 1790433043
Physician Assistant in Greenwood, IN

Active since March 15, 2022PECOS EnrolledAccepts Medicare Assignment
555 E COUNTY LINE RD, GREENWOOD, IN 46143(317) 497-2130(317) 957-2730 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2025, May 15, 2023, Mar 10, 2023 and 1 more (4 updates tracked since 2022).

About Kenneth Patrick O'connor Pa-c NPPES

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

KENNETH PATRICK O'CONNOR PA-C (NPI 1790433043) is an individual physician assistant in Greenwood, Indiana, licensed in Indiana (10003872A) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790433043
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH PATRICK O'CONNORCredential: PA-C
Location Address555 E COUNTY LINE RDGreenwood, IN 46143-1063
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Fax(317) 957-2730
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 15, 2022
Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
NPI 1790433043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IN · 10003872A Licensed in IN · 99114487A
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.

555 E COUNTY LINE RD, Greenwood, IN 46143

Secondary Practice Locations 2

Location 152500 Fir RdGranger, IN 46530-8579 · Phone (574) 234-8161
Location 2211 N Eddy StSouth Bend, IN 46617-3096 · Phone (574) 234-8161

Other Identifiers 2

Medicaid300074048IN
Other264430H05IN · Medicare Ptan

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

Kenneth Patrick O'connor 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 ID3678945722
PECOS Enrollment IDI20230217002599
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
122 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Unity Physicians Hospital

Acute Care Hospitals · Mishawaka, IN
OwnershipPhysician
CMS Certification Number150177
Location4455 Edison Lakes PkwyMishawaka, IN 46545 · St. Joseph County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

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

Specialist/Technologist (Athletic Trainer)
555 E COUNTY LINE RD
GREENWOOD, IN 46143
Home Health
555 E COUNTY LINE RD, SUITE 105
GREENWOOD, IN 46143
Physical Therapist
555 E COUNTY LINE RD
GREENWOOD, IN 46143
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
555 E COUNTY LINE RD
INDIANAPOLIS, IN 46143

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 Kenneth O'connor's NPI number?

The NPI number for Kenneth O'connor is 1790433043. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Kenneth O'connor located?

Kenneth O'connor practices at 555 E County Line Rd, Greenwood, IN 46143. The listed phone number is (317) 497-2130.

What is Kenneth O'connor's specialty?

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

Is Kenneth O'connor enrolled in Medicare?

Yes. Kenneth 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 Kenneth O'connor accept?

Health plans from CareSource list Kenneth 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 Kenneth O'connor affiliated with any hospitals?

According to CMS data, Kenneth O'connor is affiliated with Northwest Health-La Porte and Unity Physicians Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth O'connor was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.