DEVOR O'CONNOR MD
NPI 1811566250
Dermatology in Longview, TX

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

The NPI number for Devor O'connor is 1811566250. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Devor O'connor was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 June 21, 2021PECOS EnrolledAccepts Medicare Assignment

3535 N FOURTH ST STE 400, LONGVIEW, TX 75605(903) 757-3881(903) 757-5948 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Jun 21, 2021 (2 updates tracked since 2021).

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About Devor O'connor Md NPPES

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

DEVOR O'CONNOR MD (NPI 1811566250) is an individual dermatology provider in Longview, Texas, licensed in Texas (W5905) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Nebraska College Of Medicine (2021).

NPPES Registry Identity

NPI1811566250

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDEVOR O'CONNORCredential: MD

Location Address3535 N FOURTH ST STE 400Longview, TX 75605-0038

Mailing Address3535 N Fourth St Ste 400Longview, TX 75605-0038 · (903) 757-3881 · Fax (903) 757-5948

Phone(903) 757-3881

Fax(903) 757-5948

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2021

Enumeration DateJune 21, 2021

Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1811566250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in TX · W5905

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3535 N FOURTH ST STE 400, Longview, TX 75605

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Secondary Practice Locations 2

Location 11900 S Washington Ave Ste EMarshall, TX 75670-6845 · Phone (903) 503-7330 · Fax (903) 503-7336

Location 22365 Three Lakes PkwyTyler, TX 75703-1417 · Phone (903) 991-4569 · Fax (430) 227-8328

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Devor 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 ID7214335975

PECOS Enrollment IDI20260611002661

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 Reassignment

Medicare enrollment records show Devor O'connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wallis Dermatology Associates PLLC

Same address

Dermatology

3535 N FOURTH ST STE 400
Longview, TX 75605

Reassigned Medicare billing, Texas enrollment
11 clinicians in this Medicare group

NPI 1396945234 (903) 757-3881

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 75605 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 11

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

DOROTHY MCKENZIE WOMACK FNP-C

Nurse Practitioner