MR. EUGENE MARK CONNOLLY RPA-C
NPI 1013121474
Physician Assistant - Medical in Amagansett, NY

Q: What is Eugene Connolly's NPI number?

The NPI number for Eugene Connolly is 1013121474. It was assigned to this individual provider in the NPPES registry on May 9, 2007. The provider is also known as Gene Mark Connolly Rpa C.

Q: What is Eugene Connolly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Eugene Connolly was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

518 MONTAUK HWY, SUITE 102, AMAGANSETT, NY 11930(631) 267-5373(631) 267-5376 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Eugene Mark Connolly Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EUGENE MARK CONNOLLY RPA-C (NPI 1013121474) is an individual medical provider in Amagansett, New York, licensed in New York (010108) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2022).

NPPES Registry Identity

NPI1013121474

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. EUGENE MARK CONNOLLYCredential: RPA-C

Location Address518 MONTAUK HWY, SUITE 102Amagansett, NY 11930-2110

Mailing Address57 Hampton Rd, Ste 201Southampton, NY 11968-4973 · (631) 283-1126 · Fax (631) 283-7496

Phone(631) 267-5373

Fax(631) 267-5376

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2022

Enumeration DateMay 9, 2007

Last NPPES UpdateFebruary 5, 2020

✔ NPI 1013121474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 010108

518 MONTAUK HWY, Amagansett, NY 11930

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Other Names 1

Other Name (5)Gene Mark Connolly Rpa C

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Eugene Mark Connolly Rpa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183946767

PECOS Enrollment IDI20141210001127

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

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.

411 services350 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

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.

228 services228 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

132 services126 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

84 services77 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

55 services46 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

54 services49 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

52 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

48 services47 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

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.

41 services41 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

37 services35 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

24 services19 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

17 services17 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

12 services12 patients

Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) 90715

The Diphtheria, Tetanus, and Acellular Pertussis vaccine, also known as Tdap, is an immunization given to protect against three serious diseases. It's recommended for those aged 7 or older. The vaccine stimulates your body to build defenses against these infections, promoting overall health.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers25 claims53 services$5.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER J SIEFKEN PA

Physician Assistant (Medical)

518 MONTAUK HWY, STE 102
AMAGANSETT, NY 11930

Suffolk County (631) 267-5373

ANNETTE M MARSHALL PT

Rehabilitation Practitioner

518 MONTAUK HWY, SUITE 106
AMAGANSETT, NY 11930

Suffolk County (631) 267-3755

DIANE SCHADE AGPCNP-BC

Nurse Practitioner (Adult Health)

518 MONTAUK HWY
AMAGANSETT, NY 11930

Suffolk County (917) 494-2522

SPORTS PHYSICAL THERAPY EAST, PC

Physical Therapist

518 MONTAUK HWY, STE 101
AMAGANSETT, NY 11930

Suffolk County (631) 267-9100

MS. RANDI BETH CHERILL PT, ATC

Physical Therapist

518 MONTAUK HWY, STE 101
AMAGANSETT, NY 11930

Suffolk County (631) 267-9100

DR. SHAWN PATRICK CANNON DO

Internal Medicine

518 MONTAUK HWY, SUITE 102
AMAGANSETT, NY 11930

Suffolk County (631) 267-5373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugene Connolly's NPI number?

The NPI number for Eugene Connolly is 1013121474. It was assigned to this individual provider in the NPPES registry on May 9, 2007. The provider is also known as Gene Mark Connolly Rpa C.

Where is Eugene Connolly located?

Eugene Connolly practices at 518 Montauk Hwy Suite 102, Amagansett, NY 11930. The listed phone number is (631) 267-5373.

What is Eugene Connolly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eugene Connolly enrolled in Medicare?

Yes. Eugene Connolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Eugene Connolly affiliated with any hospitals?

According to CMS data, Eugene Connolly is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Eugene Connolly was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.