MS. MARGARET ANNE CONOLLY MD
NPI 1013950252
Psychiatry & Neurology - Psychiatry in Taos, NM

NPI Status: Active since June 14, 2006

Contact Information

413 SIPAPU ROAD
BOX 6952
TAOS, NM
ZIP 87571
Phone: (505) 758-5857
Fax: (505) 758-2832

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance
  • PECOS Enrolled

About MARGARET CONOLLY

This page provides the complete NPI Profile along with additional information for Margaret Conolly, a provider established in Taos, New Mexico with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1013950252 assigned on June 2006. The practitioner's primary taxonomy code is 2084P0800X with license number MD2006-0137 (NM). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1013950252
Provider Name
MS. MARGARET ANNE CONOLLY MD
Gender
Female
Entity Type
Individual
Location Address
413 SIPAPU ROAD BOX 6952 TAOS, NM 87571
Location Phone
(505) 758-5857
Location Fax
(505) 758-2832
Mailing Address
POST OFFICE BOX 76 CIMARRON, NM 87714
Mailing Phone
(505) 376-2065
Is Sole Proprietor?
No
Enumeration Date
06-14-2006
Last Update Date
07-08-2007
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A psychiatrist like Margaret Conolly are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
MD2006-0137
License State
NM
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

5446 (HI)

Insurance Plans Accepted

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

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS

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
21678251MEDICAID (05)NM 
C67303MEDICARE UPIN (02)NM 

Medicare Participation & PECOS Enrollment Status

Margaret Conolly 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

  • 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

Physician Visit Costs

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 87571 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $166.8
  • Minimum New Patient Price $54.26
  • Maximum New Patient Price $166.8
  • Average New Patient Copayment $41.7
  • Minimum New Patient Copayment $13.56
  • Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

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

  • Average Established Patient Price $68
  • Minimum Established Patient Price $17
  • Maximum Established Patient Price $135.35
  • Average Established Patient Copayment $17
  • Minimum Established Patient Copayment $4.25
  • Maximum Established Patient Copayment $33.83

* 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013950252, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 8 + 5 + 0 + 2 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1013950252.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Counselor (Professional)
413 SIPAPU ROAD, BOX 6952
TAOS, NM 87571
Specialist
413 SIPAPU ROAD
TAOS, NM 87571
Specialist
413 SIPAPU ROAD
TAOS, NM 87571
Psychologist (Prescribing (Medical))
413 SIPAPU ROAD
TAOS, NM 87571
Specialist
413 SIPAPU ROAD
TAOS, NM 87571
Specialist
413 SIPAPU ROAD
TAOS, NM 87571
Social Worker (Clinical)
413 SIPAPU ROAD, BOX 6952
TAOS, NM 87571
Counselor (Mental Health)
413 SIPAPU ROAD, BOX 6952
TAOS, NM 87571
Counselor (Addiction (Substance Use Disorder))
413 SIPAPU ROAD
TAOS, NM 87571
Specialist
413 SIPAPU ROAD, BOX 6952
TAOS, NM 87571
Specialist
413 SIPAPU ROAD, BOX 6952
TAOS, NM 87571
Counselor (Mental Health)
413 SIPAPU ROAD, BOX 6952
TAOS, NM 87571
Counselor (Addiction (Substance Use Disorder))
413 SIPAPU ROAD
TAOS, NM 87571
Counselor (Professional)
413 SIPAPU ROAD, 6952
TAOS, NM 87571
Counselor (Addiction (Substance Use Disorder))
413 SIPAPU ROAD
TAOS, NM 87571
Case Manager/Care Coordinator
413 SIPAPU ROAD
TAPS, NM 87571
Counselor (Mental Health)
413 SIPAPU ROAD
TAOS, NM 87571
Licensed Practical Nurse
413 SIPAPU ROAD, # 6952
TAOS, NM 87571
Registered Nurse (Critical Care Medicine)
413 SIPAPU ROAD
TAOS, NM 87571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013950252, enumerated as an "individual" on June 14, 2006.

The provider is located at 413 SIPAPU ROAD BOX 6952 TAOS, NM 87571 and the phone number is (505) 758-5857.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.