Active NPI 1104887884 Individual Practitioner Male Practitioner

Michael Francis O'brien , PA-C

Physician Assistant • Halfmoon, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael O'Brien, PA-C is a certified Physician Assistant practicing in Halfmoon, NY. With approximately 38 years of clinical experience since completing medical education in 1988, Michael O'Brien delivers high-quality medical care to the local community at 103 SITTERLY RD STE 2300.

Michael O'Brien is affiliated with Ellis Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

103 Sitterly Rd Ste 2300

Halfmoon, NY 12065

Telephone 5185792650

Fax 5185792670

Associated Practice Facility / Clinic

🏢 Ellis Hospital Facility NPI 1639659931

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Halfmoon, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +24.9 yrs vs City Avg

City Avg: 13.1 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

14 Specialists

Practicing in Halfmoon, NY (15701 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. O'brien (38 Years) 38 Yrs

Halfmoon Specialty Average (13.1 Years) 13.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	84	$236.56	$78.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$341.00	$104.64
99497 Advance care planning, first 30 minutes	45	45	$239.73	$60.42
G0444 Annual depression screening, 5 to 15 minutes	19	19	$29.00	$7.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$330.00	$115.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	90	$223.90	$79.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$324.00	$105.09
G0444 Annual depression screening, 5 to 15 minutes	41	41	$27.00	$7.44
99497 Advance care planning, first 30 minutes	33	33	$223.00	$61.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$479.00	$134.41
69210 Removal of impacted ear wax	12	11	$93.00	$26.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	94	$211.00	$82.38
G0444 Annual depression screening, 5 to 15 minutes	45	45	$26.00	$7.83
99497 Advance care planning, first 30 minutes	43	43	$212.00	$64.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$309.00	$110.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$456.00	$140.79
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$138.00	$56.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$298.00	$121.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	92	$212.35	$84.21
99213 Established patient office or other outpatient visit, typically 15 minutes	65	50	$141.32	$55.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$294.00	$112.01
G0444 Annual depression screening, 5 to 15 minutes	13	13	$25.00	$7.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$408.00	$114.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	90	$222.41	$65.83
99213 Established patient office or other outpatient visit, typically 15 minutes	81	64	$133.72	$42.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$294.00	$96.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$329.17	$108.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	62	$143.13	$41.97
99213 Established patient office or other outpatient visit, typically 15 minutes	63	51	$136.24	$42.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$222.25	$64.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$222.70	$64.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	114	$106.70	$38.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	67	$165.48	$61.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	160	$85.76	$39.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	81	$125.47	$61.32

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 003610-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Mvp Provider Number

324371 (NY)

Hospital & Practice Group Affiliations

Ellis Hospital

1101 Nott St, Schenecctady, NY 123082425

Phone: 5182434000

Ellis Hospital

103 Sitterly Rd, Halfmoon, NY 120655612

Phone: 5185792800

Ellis Hospital

1101 Nott St, Schenectady, NY 123082425

Phone: 5182431916

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Renata Mazzei -Klokiw , MD

Family Medicine

NPI 1073583738

Doctor of Medicine (M.D.)

Mahuwa Mukherjee , FNP

Nurse Practitioner - Family

NPI 1487417440

Family Nurse Practitioner

Christina Mariotti , FNP

Nurse Practitioner - Family

NPI 1922841527

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 10, 2018

Registered at 103 SITTERLY RD STE 2300, HALFMOON, NY 12065 (Tel: 5185792650)

📍

Updated Business Mailing Address July 10, 2018

Registered at 103 SITTERLY RD STE 2300, HALFMOON, NY 120655646 (Tel: 5185792650)

👤

Provider Name / Credentials Updated July 10, 2018

Recorded as MICHAEL O'BRIEN, PA-C

✅

NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2015

Registered at 112 CHARLTON RD, BALLSTON LAKE, NY 120192547 (Tel: 5183997723)

📍

Updated Business Mailing Address March 31, 2015

Registered at 112 CHARLTON RD, BALLSTON LAKE, NY 120192547 (Tel: 5183997723)

👤

Provider Name / Credentials Updated March 31, 2015

Recorded as MICHAEL O'BRIEN, RPA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Physician Assistant (License #003610-1 in NY)

🟢

Initial NPI Registration & Enumeration March 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104887884

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 31, 2006

Last Update: July 10, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

103 Sitterly Rd Ste 2300

Halfmoon, NY 120655646

Phone: 5185792650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.