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Kelly N. O'Connor

NPI 1841849312ActiveIndividual· Dermatology· Jackson, WY

Dermatology in Jackson, Wyoming, trained at University of Washington School of Medicine (class of 2020). 386 Medicare patients in 2024, $74,755 paid; nearly all of their 203 Part D prescriptions were generic (99%). Ucb, Inc. was the largest of 7 companies reporting payments in 2025, $256.17 in all, mostly food and beverage.

Overview

NPI1841849312
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 8, 2019
Last updated in NPPESSep 9, 2021
Certified by providerAug 23, 2021

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients386
Services billed12,802 across 56 procedure codes
Paid by Medicare$74,755

Part D prescriptions in 2024

Prescriptions (claims)203 · 209 30-day fills
Patients138
Total drug cost$2,728
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Washington School of Medicine
Graduation year2020
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$256.17 · 10 payments from 7 companies
  • 2024$170.95 · 8 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$256.17 · 10 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dermatology providers in Jackson

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