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Deactivated NPI 1417021940 Deactivated / Inactive NPI Male Practitioner

Dr. Michael O'brien , MD

Ophthalmology • Warwick, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael O'brien has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2006
NPI Deactivation Date June 25, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Michael O'Brien, MD was a registered Ophthalmology practicing in Warwick, RI. Throughout an active medical career spanning 20 years, Dr. O'Brien provided care at the practice location at 618 TOLL GATE RD until profile deactivation on 2026-06-25.

Historical Medicare Part B clinical services included imaging of retina, established patient outpatient office visit, injection of drug into eye. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

618 Toll Gate Rd

Warwick, RI 028862717

Telephone 4017370981
Fax 4017324931
Associated Practice Facility / Clinic
🏢 Koch Eye Associates, Llp Facility NPI 1275939027

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Warwick, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Warwick, RI (92 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
92134 Imaging of retina
102 85 $94.00 $40.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
79 69 $240.00 $129.64
67028 Injection of drug into eye
57 41 $525.00 $113.48
J0178 Injection, aflibercept, 1 mg
54 17 $1470.00 $840.45
92014 Established patient complete exam of visual system
39 39 $283.00 $123.20
92250 Photography of the retina
37 36 $182.00 $36.24
92202 Extended exam of the back part of the eye with optic nerve drawing
36 36 $42.00 $15.04
92201 Extended exam of the back part of the eye with retinal drawing
33 30 $63.00 $25.09
J9035 Injection, bevacizumab, 10 mg
30 25 $161.00 $73.12

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License RI MD09575

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1497815930

Doctor of Medicine (M.D.)

NPI 1750399697

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated June 25, 2026

Record deactivated on June 25, 2026

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Updated Practice Location January 29, 2020

Registered at 566 TOLL GATE RD, WARWICK, RI 028862799 (Tel: 4017384800)

NPI Profile Active September 25, 2015

NPI status registered as active in NPPES database

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Updated Practice Location September 25, 2015

Registered at 618 TOLL GATE RD, WARWICK, RI 028862717 (Tel: 4017370981)

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Updated Business Mailing Address September 25, 2015

Registered at 566 TOLL GATE RD, WARWICK, RI 028862716 (Tel: 4017384800)

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Provider Name / Credentials Updated September 25, 2015

Recorded as MICHAEL O'BRIEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2015

Ophthalmology (License #MD09575 in RI)

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Initial NPI Registration & Enumeration November 17, 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: 1417021940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2006
Last Update: September 25, 2015
Deactivation Date: June 25, 2026

Mailing Address

566 Toll Gate Rd

Warwick, RI 028862716

Phone: 4017384800

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.