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DR. ERIK WESLEY O'CONNELL D.O.
NPI 1891085122
Internal Medicine - Rheumatology in Augusta, ME

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
15 ENTERPRISE DR, AUGUSTA, ME 04330(207) 621-9580(207) 621-9581 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2025, Jan 19, 2022, Jul 9, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Erik Wesley O'connell D.o. NPPES

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

DR. ERIK WESLEY O'CONNELL D.O. (NPI 1891085122) is an individual rheumatology provider in Augusta, Maine, licensed in Maine (DO2941) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1891085122
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ERIK WESLEY O'CONNELLCredential: D.O.
Location Address15 ENTERPRISE DRAugusta, ME 04330-7997
Mailing Address15 Enterprise DrAugusta, ME 04330-7997 · (207) 621-9580 · Fax (207) 621-9581
Phone(207) 621-9580
Fax(207) 621-9581
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2011
Enumeration DateApril 7, 2011
Last NPPES UpdateNovember 12, 20256 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1891085122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in ME · DO2941
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
15 ENTERPRISE DR, Augusta, ME 04330
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Campus Ave Ste 201Lewiston, ME 04240-6049 · Phone (207) 777-4459 · Fax (207) 777-4485

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Dr. Erik Wesley O'connell D.o. 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 ID345466389
PECOS Enrollment IDI20200630002553
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

2

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

Mainegeneral Medical Center
0.8 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454
St. Mary's Regional Medical Center
27 mi
General Acute Care Hospital
93 CAMPUS AVE
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: St Marys Regional Medical Center
  • 381 clinicians in this Medicare group
NPI 1447226584 (207) 777-8100

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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
226 services181 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 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.
21 services19 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.
19 services16 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
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 20

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

WENDY CLAVEAU
Physical Therapist
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-7500
KRISTIN C JOHNSTON OT
Occupational Therapist
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-7500
JILL CHRISTINA HASKELL ATC, CSCS
Specialist/Technologist (Athletic Trainer)
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-7525
CHRISTINA MARIE BROOKS
Physician Assistant
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-8800
BRITTANY D PECKHAM FNP-C
Nurse Practitioner (Family)
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-8880
BROOKE HEATHCO PA-C
Physician Assistant
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-8880
ANGELA THERESA CHAPMAN MSOTR/L
Occupational Therapist
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-7500
STUART AITKEN MD
Orthopaedic Surgery
15 ENTERPRISE DR
AUGUSTA, ME 04330
Kennebec County (207) 621-8700

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 Erik O'connell's NPI number?

The NPI number for Erik O'connell is 1891085122. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Erik O'connell located?

Erik O'connell practices at 15 Enterprise Dr, Augusta, ME 04330. The listed phone number is (207) 621-9580.

What is Erik O'connell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Erik O'connell enrolled in Medicare?

Yes. Erik O'connell 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 Erik O'connell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik O'connell reassigns Medicare benefits to 2 organizations: Mainegeneral Medical Center (Augusta, ME) and St. Mary's Regional Medical Center (Lewiston, ME). 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 Erik O'connell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik O'connell accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Erik O'connell 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 Erik O'connell affiliated with any hospitals?

According to CMS data, Erik O'connell is affiliated with St Mary's Regional Medical Center, Maine General Medical Center and Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for Erik O'connell was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.