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MR. TIMOTHY W O'BRIEN PA-C
NPI 1831210301
Physician Assistant in Wolfeboro, NH

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
240 S MAIN ST, WOLFEBORO, NH 03894(603) 515-2093(603) 515-2031 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2021, Mar 28, 2016 (2 updates tracked since 2016).

About Mr. Timothy W O'brien Pa-c NPPES

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

MR. TIMOTHY W O'BRIEN PA-C (NPI 1831210301) is an individual physician assistant in Wolfeboro, New Hampshire, licensed in New Hampshire (454) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1831210301
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY W O'BRIENCredential: PA-C
Location Address240 S MAIN STWolfeboro, NH 03894-4411
Mailing Address240 S Main StWolfeboro, NH 03894-4411 · (603) 515-2093 · Fax (603) 515-2031
Phone(603) 515-2093
Fax(603) 515-2031
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 3, 2007
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1831210301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NH · 454
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.
240 S MAIN ST, Wolfeboro, NH 03894
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Other Identifiers 1

Medicaid3077612NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Mr. Timothy W O'brien 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 ID9133203151
PECOS Enrollment IDI20080228000365
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 9

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
165 services76 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.
87 services87 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.
59 services51 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.
33 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH
2/5 CMS rating
OwnershipProprietary
CMS Certification Number300014
Location11 Whitehall RoadRochester, NH 03867 · Strafford County
Emergency services

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03894 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

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.

WILLIAM B BARTON MD
Surgery
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7511
ERIC C LEWIS M.D.
Family Medicine
240 S MAIN ST, SUITE A
WOLFEBORO, NH 03894
Carroll County (603) 569-7574
ELIZABETH NANCY BEAN PA
Physician Assistant
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7500
ERIK PATRICK DUTSON MD
Surgery
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7511
VICTORIA SPINALE RD, LD
Dietitian, Registered
240 S MAIN ST, DEPT OF CLINICAL NUTRITION
WOLFEBORO, NH 03894
Carroll County (603) 569-7500
MRS. ELLEN DENNEHY PA
Physician Assistant (Medical)
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 569-7574
WILLIAM BRADLEY WHITE M.D.
Orthopaedic Surgery
240 S MAIN ST
WOLFEBORO, NH 03894
Carroll County (603) 515-2093
DR. JIM KEVIN COPENHAVER M.D.
Family Medicine
240 S MAIN ST, EMERGENCY DEPARTMENT
WOLFEBORO, NH 03894
Carroll County (360) 257-9403

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 Timothy O'brien's NPI number?

The NPI number for Timothy O'brien is 1831210301. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Timothy O'brien located?

Timothy O'brien practices at 240 S Main St, Wolfeboro, NH 03894. The listed phone number is (603) 515-2093.

What is Timothy O'brien's specialty?

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

Is Timothy O'brien enrolled in Medicare?

Yes. Timothy O'brien 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 Timothy O'brien accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Timothy O'brien 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 Timothy O'brien affiliated with any hospitals?

According to CMS data, Timothy O'brien is affiliated with Concord Hospital- Laconia, Frisbie Memorial Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Timothy O'brien was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.