NPPES file of Aug 9, 2026

James W. O'Brien, MD

Gastroenterology Physician · Manchester, CT

James W. O'Brien, MD is a gastroenterology physician with a practice address in Manchester, Connecticut, and NPI 1841275252, issued on Dec 8, 2005. Check the license (Connecticut 035189, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1841275252
Name
James W. O'Brien
Credential
MD
Primary taxonomy
Gastroenterology Physician 207RG0100X
License numbers
035189 CT
MD-19477 HI
Self-reported in NPPES; status is on the state search
Practice location
353 Main St, Manchester, CT 06040
Phone
(860) 649-3477
Enumerated
Dec 8, 2005
Record last updated
May 1, 2025
Medicaid ID
001351890 CT
Medicare enrollment
Enrolled (PECOS I20180625002009); accepts Medicare assignment
Medical or professional school
Duke University School Of Medicine, 1991
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 353 Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Khadijat Balogun, M.DGastroenterology Physician1124310743
  2. Peter Buch, MDGastroenterology Physician1124098199
  3. Madelyn CzekalskiMedical Physician Assistant1316658222
  4. Irm Khan, P.A.Medical Physician Assistant1992924906
  5. Nishita Mayette, FNP-CFamily Nurse Practitioner1588428973
  6. Rohit Singhania, M.D.Gastroenterology Physician1457664500

Verify James W. O'Brien in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersConnecticut Medical Examining Board
    Search for license 035189
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Connecticut license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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59% fewer Medicare Part D claims than the average gastroenterology physician in 2024

333 Medicare Part D claims for 165 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims.

  1. James O'Brien333
  2. Specialty average811

Most prescribed

  1. Pantoprazole Sodium92 claims
  2. Peg 3350-Electrolyte52 claims
  3. Omeprazole24 claims
  4. Famotidine22 claims
  5. Ciprofloxacin Hcl21 claims
  6. Creon15 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 86.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.3
  2. Costout of 100 · 30%73.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

2 hospital affiliations

  1. Straub Clinic And HospitalHonolulu, HI · Acute Care Hospitals4 of 5 stars
  2. Hilo Benioff Medical CenterHilo, HI · Acute Care Hospitals3 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

James W. O'Brien among 336 gastroenterology physician records in Connecticut

James W. O'Brien, MD is one of 336 gastroenterology physician records with a practice address in Connecticut. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 85% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1991 · median 2001 among the 255 with a school on file
  • Record last updated2025 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Connecticut

There are 336 gastroenterology physician records in Connecticut.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Khadijat Balogun, M.DManchester, CT 060401124310743
  2. Peter Buch, MDManchester, CT 060401124098199
  3. Rohit Singhania, M.D.Manchester, CT 060401457664500
  4. Robert Schwartz, M.D.Manchester, CT 060421700861473
  5. Joseph Cappa, MDGlastonbury, CT 060331639273212
  6. Donna Cipolla, MDGlastonbury, CT 060331508845306
  7. Jeffrey Gelwan, MDGlastonbury, CT 060331619071230
  8. Jenna Koliani-Pace, M.D.Glastonbury, CT 060331316209141

Common questions

What is James W. O'Brien, MD's NPI number?

James W. O'Brien, MD's National Provider Identifier (NPI) is 1841275252, issued on Dec 8, 2005. An NPI identifies a provider in billing; it is not a license.

Where is James W. O'Brien, MD located?

The NPPES record lists a practice address at 353 Main St, Manchester, CT, 06040. Phone: (860) 649-3477. Providers update this record themselves, so call before visiting.

How can I verify James W. O'Brien, MD's license?

NPPES lists Connecticut license number 035189, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James W. O'Brien, MD prescribe under Medicare Part D?

In 2024, James W. O'Brien, MD had 333 Medicare Part D claims for 165 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is James W. O'Brien, MD's MIPS final score?

The 2023 MIPS final score is 86.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.