Kenneth O'Connor, PA-C
NPI 1790433043 · Physician Assistant · South Bend, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth O'Connor, PA-C is a Physician Assistant provider in South Bend, IN (NPI 1790433043).
Provider details
- NPI number
- 1790433043
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 99114487A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
122 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 122 | $39 |
Typical Medicare-allowed amounts for these services range $39–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$124 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 52500 Fir RdGranger, IN 46530-8579Phone: (574) 234-8161
Registry dates
- Enumerated
- 2022-03-15
- Last updated
- 2025-02-12
- Certified
- 2025-02-06
Frequently asked questions
- What is Kenneth O'Connor's NPI number?
- Kenneth O'Connor's National Provider Identifier (NPI) is 1790433043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth O'Connor's specialty?
- Kenneth O'Connor is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth O'Connor located?
- Kenneth O'Connor's practice location on file with NPPES is 211 N Eddy St, South Bend, IN 46617-3096.
- What is Kenneth O'Connor's phone number?
- The practice phone number listed in the NPPES registry for Kenneth O'Connor is (574) 234-8161.
- Does Kenneth O'Connor accept Medicare?
- Kenneth O'Connor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth O'Connor's NPI active?
- Yes — Kenneth O'Connor's NPI (1790433043) is active in the NPPES registry as of the last update on 2025-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.