DR. PATRICK MARK O'BRIEN M.D.
NPI 1861615155
Orthopaedic Surgery in Sioux Falls, SD

Q: What is Patrick O'brien's NPI number?

The NPI number for Patrick O'brien is 1861615155. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Patrick O'brien's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick O'brien was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 11, 2007PECOS EnrolledAccepts Medicare Assignment

911 E 20TH ST STE 300, SIOUX FALLS, SD 57105(605) 322-1300(605) 322-1301 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2019, May 16, 2017, Mar 31, 2016 (3 updates tracked since 2016).

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About Dr. Patrick Mark O'brien M.d. NPPES

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

DR. PATRICK MARK O'BRIEN M.D. (NPI 1861615155) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (10105) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Avera Merrill Pioneer Hospital, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1861615155

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. PATRICK MARK O'BRIENCredential: M.D.

Location Address911 E 20TH ST STE 300Sioux Falls, SD 57105-1045

Mailing Address911 E. 20th St, Ste 300Sioux Falls, SD 57105-1045 · (605) 322-1300 · Fax (605) 322-1301

Phone(605) 322-1300

Fax(605) 322-1301

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2007

Enumeration DateApril 11, 2007

Last NPPES UpdateOctober 31, 20193 updates tracked since enumeration

✔ NPI 1861615155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in SD · 10105✔ Licensed in NC · 2014-01725

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

911 E 20TH ST STE 300, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 16100 S Louise Ave Ste 2100Sioux Falls, SD 57108-6021 · Phone (605) 504-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Patrick Mark O'brien 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 ID9032344403

PECOS Enrollment IDI20161102001543, I20191014003429

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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

188 services23 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.

169 services134 patients

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.

59 services42 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.

46 services35 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.

39 services39 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.

25 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Avera Merrill Pioneer Hospital

Critical Access Hospitals · Rock Rapids, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161321

Location1100 S 10th AveRock Rapids, IA 51246 · Lyon County

Emergency services

Hegg Memorial Health Center

Critical Access Hospitals · Rock Valley, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161336

Location1202 21st AvenueRock Valley, IA 51247 · Sioux County

Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

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Other Providers at the Same Location NPPES 9

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

JESSICA CLARK CNP

Nurse Practitioner