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JAMES MICHAEL O'BRIEN M.D.
NPI 1902203573
Obstetrics & Gynecology - Maternal & Fetal Medicine in Hershey, PA

Active since November 26, 2014PECOS Enrolled
71.78/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(800) 243-1455(717) 531-0119 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Jul 29, 2019, Apr 24, 2019 and 1 more (4 updates tracked since 2016).

About James Michael O'brien M.d. NPPES

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

JAMES MICHAEL O'BRIEN M.D. (NPI 1902203573) is an individual maternal & fetal medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD456780) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1902203573
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameJAMES MICHAEL O'BRIENCredential: M.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing AddressPo Box 858, Mc Ca 410Hershey, PA 17033-0858 · (717) 531-5814 · Fax (717) 531-0494
Phone(800) 243-1455
Fax(717) 531-0119
Sole ProprietorNo
Enumeration DateNovember 26, 2014
Last NPPES UpdateMarch 1, 20234 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1902203573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in PA · MD456780
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD456780 (PA)
500 UNIVERSITY DR, Hershey, PA 17033
Open in Google Maps ↗

Secondary Practice Location 1

Location 135 Monument Rd Ste 202York, PA 17403-5074 · Phone (717) 851-2722 · Fax (717) 851-3127

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Michael O'brien M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 James O'brien reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Milton S Hershey Medical Center Physicians Group
Same address
Critical Care Medicine
500 UNIVERSITY DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1073687497 (800) 243-1455
Penn State Health Medical Group, LLC
2.5 mi
Family Medicine
100 CRYSTAL A DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 994 clinicians in this Medicare group
NPI 1457110793 (833) 774-3627

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 17033 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 James O'brien's NPI number?

The NPI number for James O'brien is 1902203573. It was assigned to this individual provider in the NPPES registry on November 26, 2014.

Where is James O'brien located?

James O'brien practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is James O'brien's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is James O'brien enrolled in Medicare?

Yes. James O'brien is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James O'brien reassigns Medicare benefits to 2 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA) and Penn State Health Medical Group, LLC (Hershey, PA). 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 James O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James O'brien was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.