2026 NPPES data Otolaryngic Allergy Physician NPI 1720262686 M.D.
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KEVIN O'CONNELL, M.D.

Otolaryngic Allergy Physician in WARSAW, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
503
Medicare Part D claims · 134 beneficiaries · Otolaryngic Allergy Physician avg: 788
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.0271/100
▼ 15 pts below national avg 83.1 · [object Object]
What the federal data reveals: KEVIN O'CONNELL, M.D. is a Otolaryngic Allergy Physician ([object Object]) practicing in WARSAW, New York with a Medicare Part D prescribing footprint of 503 claims across 134 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 68.0271/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KEVIN O'CONNELL, M.D. reported a CMS MIPS final score of 68.0271 out of 100, below the 83.1 national average, and filed 503 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KEVIN O'CONNELL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KEVIN O'CONNELL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 12/27/2007

NPI 1720262686

Primary specialty

Otolaryngic Allergy Physician

Rare

151 US NPIs in this specialty

Medicare Part D claims

503 36% vs specialty avg

2023 prescription claims

Specialty avg: 788

MIPS final score

68.0271/100 15.07289999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New York

How Otolaryngic Allergy Physician compares to other specialties among New York providers

New York providers

Otolaryngic Allergy Physician share within New York

1. Otolaryngic Allergy Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngic Allergy Physician share within New York

Medicare quality performance — MIPS

KEVIN O'CONNELL, M.D.'s 2023 MIPS final score plotted against the Otolaryngic Allergy Physician national average

Below national average
MIPS Final Score
68.0271/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngic Allergy Physician) — 68.0271/100 vs national avg 83.1

0%100%National avg83%68%
MIPS final score (Otolaryngic Allergy Physician) — 68.0271/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KEVIN O'CONNELL, M.D. is a Otolaryngic Allergy Physician provider practicing in WARSAW, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1720262686. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KEVIN O'CONNELL, M.D. appears in the CMS NPPES registry as a Otolaryngic Allergy Physician provider holding M.D. credentials at 400 N MAIN ST, WARSAW, NY, 14569, with a listed phone of (585) 786-1555. NPI 1720262686 was issued on 12/27/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O'CONNELL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 503 prescription claims written by this provider, covering 134 Medicare beneficiaries and totaling roughly $11K in drug spend, split 5% brand-name and 95% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68.0271/100 for the 2023 performance year (Quality 67.1921, Cost 39.565), compared with the national average of 83.1.

Otolaryngic Allergy Physician is a narrow specialty nationwide, with 151 enrolled providers across 38 states and an average of 788 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

400 N MAIN ST
WARSAW, NY 14569

Provider Details

NPI 1720262686
Specialty Otolaryngic Allergy Physician
Credentials M.D.
Gender Male
NPI Issued 12/27/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

68.0271
Final Score
Avg: 83.1
67.1921
Quality
39.565
Cost
64
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to KEVIN O'CONNELL, M.D.. To verify KEVIN O'CONNELL, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

KEVIN O'CONNELL, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 503 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

503
Total Claims
$11K
Total Drug Cost
134
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
644
Total Day Supply
14,719
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$1K
Generic Drug Cost
$9K
Antibiotic Claims
118

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.51
Gender Split
51% female / 49% male
Age Distribution
<65: 38, 65-74: 50, 75-84: 35, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Fluticasone Propionate
163
Methylprednisolone
46
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
45
Prednisone
39
Clindamycin Hcl
24
Mupirocin
23
Ciprofloxacin Hcl
19
Sucralfate
19
Omeprazole
18
Clarithromycin
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngic Allergy Physician Overview

How KEVIN O'CONNELL, M.D. fits within the Otolaryngic Allergy Physician landscape nationally.

151
Otolaryngic Allergy Physician Providers in US
38
States with Otolaryngic Allergy Physician
788
Avg Claims per Provider

KEVIN O'CONNELL, M.D.'s 503 claims are below the specialty average of 788.

Nearby Otolaryngic Allergy Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as O'CONNELL.

Compare Otolaryngic Allergy Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN O'CONNELL, M.D.'s specialty?
KEVIN O'CONNELL, M.D. specializes in Otolaryngic Allergy Physician and practices in WARSAW, New York. Credentials: M.D..
How much does KEVIN O'CONNELL, M.D. prescribe under Medicare Part D?
In 2023, KEVIN O'CONNELL, M.D. wrote 503 Medicare Part D claims totaling $11K in drug costs for 134 beneficiaries.
What is KEVIN O'CONNELL, M.D.'s Medicare quality score?
KEVIN O'CONNELL, M.D. has a CMS MIPS Final Score of 68.0271/100 (Quality: 67.1921, Cost: 39.565). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEVIN O'CONNELL, M.D. located?
KEVIN O'CONNELL, M.D. is located at 400 N MAIN ST, WARSAW, NY, 14569. Phone: (585) 786-1555.
What is KEVIN O'CONNELL, M.D.'s NPI number?
KEVIN O'CONNELL, M.D.'s National Provider Identifier (NPI) is 1720262686, issued on 12/27/2007.
Does KEVIN O'CONNELL, M.D. prescribe more brand-name or generic drugs?
KEVIN O'CONNELL, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $1K in brand drug costs.
How many Otolaryngic Allergy Physician providers are there in the US?
There are 151 Otolaryngic Allergy Physician providers across 38 states in the US. The average Otolaryngic Allergy Physician provider writes 788 Medicare Part D claims per year.
What drugs does KEVIN O'CONNELL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KEVIN O'CONNELL, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Methylprednisolone, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN O'CONNELL, M.D. accept Medicare?
KEVIN O'CONNELL, M.D. appears in CMS Medicare data with 503 Part D claims and 134 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN O'CONNELL, M.D.'s credentials?
KEVIN O'CONNELL, M.D.'s NPI is 1720262686 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology