JOHN PATRICK O'HEARN M.D.
NPI 1548248974
Orthopaedic Surgery in Forest Hill, MD

NPI Status: Active since January 05, 2006

Contact Information

2 COLGATE DR
SUITE 204
FOREST HILL, MD
ZIP 21050
Phone: (410) 879-9636
Fax: (410) 879-0376

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  • Individual
  • Male
  • Years of Experience 54
  • Orthopaedic Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About JOHN O'HEARN

This page provides the complete NPI Profile along with additional information for John O'hearn, a provider established in Forest Hill, Maryland with a medical specialization in Orthopaedic Surgery and more than 54 years of experience. He graduated from Creighton University School Of Medicine in 1972. The healthcare provider is registered in the NPI registry with number 1548248974 assigned on January 2006. The practitioner's primary taxonomy code is 207X00000X with license number D18602 (MD). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1548248974
Provider Name
JOHN PATRICK O'HEARN M.D.
Gender
Male
Entity Type
Individual
Location Address
2 COLGATE DR SUITE 204 FOREST HILL, MD 21050
Location Phone
(410) 879-9636
Location Fax
(410) 879-0376
Mailing Address
2 COLGATE DR SUITE 204 FOREST HILL, MD 21050
Mailing Phone
(410) 879-9636
Mailing Fax
(410) 879-0376
Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1972
Is Sole Proprietor?
Yes
Enumeration Date
01-05-2006
Last Update Date
11-13-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
D18602
License State
MD
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

D0018602 (MD)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E470-0001OTHER (01)DCCAREFIRST
P00166020OTHER (01)GARAILROAD MEDICARE
6329520001OTHER (01)MEDICARE DME
277L531BOTHER (01)MDMEDICARE

Medicare Participation & PECOS Enrollment Status

John O'hearn is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

John O'hearn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103812243

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110112000026

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF011N)

    Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf (HCPCS:L1833)

    1 DME suppliers used 11 Medicare Claims 13 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complete ultrasound scan of joint

A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.

This service was performed 18 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 50 times for 24 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 233 times for 132 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 44 times for 38 patients

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 27 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 15 times for 15 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 81 times for 81 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 11 times for 11 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 15 times for 15 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 24 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.52 for a new patient copayment and $18.86 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21050 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.08
  • Minimum New Patient Price $60.73
  • Maximum New Patient Price $183.44
  • Average New Patient Copayment $23.52
  • Minimum New Patient Copayment $15.18
  • Maximum New Patient Copayment $45.86

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.47
  • Minimum Established Patient Price $19.6
  • Maximum Established Patient Price $149.17
  • Average Established Patient Copayment $18.86
  • Minimum Established Patient Copayment $4.9
  • Maximum Established Patient Copayment $37.29

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 100% 48
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Documentation of Current Medications in the Medical Record 88% 2477
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of patients through implementation of improvements in patient portalYesN/A
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
e-Prescribing 92% 427
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Screening for Future Fall Risk 72% 367
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Medication Reconciliation 98% 2760
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 49% 883
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98% 837
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81% 53
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 60% 883
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Secure Messaging 60% 883
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Send a Summary of Care 2% 51
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.
Tobacco useYesN/A
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.
Use of certified EHR to capture patient reported outcomesYesN/A
In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review.
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
346
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548248974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25884416914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 4 + 4 + 1 + 6 + 9 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1548248974 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831151901 CHARLENE MARANGE MPT
Individual
Physical Therapist2 COLGATE DR
FOREST HILL, MD 21050
(410) 879-7769
1437113081MR. ANTHONY MARTIN MALEK P.T.
Individual
Physical Therapist2 COLGATE DR SUITE 102
FOREST HILL, MD 21050
(410) 879-7769
1760410922 KIMBERLY LYNN LORD PHYSICAL THERAPIST
Individual
Physical Therapist2 COLGATE DR SUITE 102
FOREST HILL, MD 21050
(410) 879-7769
1184658148 CHARLES MICHAEL WAX M.D.
Individual
Pediatrics (Adolescent Medicine)2 COLGATE DR SUITE 104
FOREST HILL, MD 21050
(410) 838-1051
1245384270 LEO V. TRAIL JR. D.D.S., M.S., P.A.
Individual
Dentist (Periodontics)2 COLGATE DR SUITE 103
FOREST HILL, MD 21050
(410) 836-8567
1861723900KMH HEALTHCARE CORPORATION
Organization
Clinic/Center (Radiology)2 COLGATE DR SUITE 204
FOREST HILL, MD 21050
(877) 564-5227
1972611804DR. H. PATS NEUROLOGICAL TESTING, CHARTERED
Organization
Psychiatry & Neurology (Neurology)2 COLGATE DR SUITE 201
FOREST HILL, MD 21050
(410) 836-9000
1598887507DR. HARVEY B PATS M.D.
Individual
Psychiatry & Neurology (Neurology)2 COLGATE DR SUITE 201
FOREST HILL, MD 21050
(410) 917-1800
1700068921ALY NAGUIB MD PA
Organization
Family Medicine2 COLGATE DR SUITE 103
FOREST HILL, MD 21050
(410) 420-0161
1548438120SUSQUEHANNA ORTHOPAEDICS ASSOCIATES JOHN P OHEARN MD LLC
Organization
Orthopaedic Surgery2 COLGATE DR SUITE 204
FOREST HILL, MD 21050
(410) 879-9636
1891132460 KAREN DEBORAH MCFAUL-GLOVER CRNP
Individual
Nurse Practitioner (Adult Health)2 COLGATE DR SUITE 103
FOREST HILL, MD 21050
(888) 340-1813
1710940911FOREST HILL FAMILY & COSMETIC DENTISTRY
Organization
Dentist2 COLGATE DR SUITE 101
FOREST HILL, MD 21050
(410) 838-6630
1841614989DR. CHARLES BRYAN EBNER D.D.S.
Individual
Dentist2 COLGATE DR SUITE 101
FOREST HILL, MD 21050
(410) 838-6630
1508950627 ALY MOHAMED FATHY NAGUIB M.D.
Individual
Family Medicine2 COLGATE DR SUITE 103
FOREST HILL, MD 21050
(410) 420-0161
1346621737SUSQUEHANNA ORTHOPAEDIC ASSOCIATES JOHN P O'HEARN MD LLC
Organization
Clinic/Center2 COLGATE DR SUITE 204
FOREST HILL, MD 21050
(410) 879-9636
1962888339REHABCLINICS (SPT), INC.
Organization
Clinic/Center (Physical Therapy)2 COLGATE DR SUITE 102
FOREST HILL, MD 21050
(410) 879-7769
1740731827 ROBBIN WITKOWSKI CRNP, FNP-C
Individual
Nurse Practitioner (Family)2 COLGATE DR STE. 102
FOREST HILL, MD 21050
(410) 420-0161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548248974, enumerated in the NPI registry as an "individual" on January 05, 2006

The provider is located at 2 Colgate Dr Suite 204 Forest Hill, Md 21050 and the phone number is (410) 879-9636

The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X

The provider has more than 54 years of experience. He graduated from Creighton University School Of Medicine in 1972.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $94.08 with an average copayment of $23.52 for new patient appointments. Established patients should expect a typical charge of $75.47 and an average copayment of 18.86. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Complete ultrasound scan of joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Removal of knee cartilage using an endoscope and Upper limb (arm) arthroscopy (minimally invasive joint repair).

This NPI record was last updated on January 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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