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KEVIN JAMES CONNOR D.D.S., M.D.
NPI 1174733588
Dentist - Oral and Maxillofacial Surgery in Waukesha, WI

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1111 DELAFIELD STREET, SUITE 222, WAUKESHA, WI 53188(262) 547-8665(262) 547-8685 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevin James Connor D.d.s., M.d. NPPES

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

KEVIN JAMES CONNOR D.D.S., M.D. (NPI 1174733588) is an individual oral and maxillofacial surgery provider in Waukesha, Wisconsin, licensed in Wisconsin (6201 54630) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2010).

NPPES Registry Identity

NPI1174733588
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKEVIN JAMES CONNORCredential: D.D.S., M.D.
Location Address1111 DELAFIELD STREET, SUITE 222Waukesha, WI 53188-3403
Mailing Address1111 Delafield Street, Suite 222Waukesha, WI 53188-3403 · (262) 547-8665 · Fax (262) 547-8685
Phone(262) 547-8665
Fax(262) 547-8685
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2010
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 19, 2010
✔ NPI 1174733588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 6201 54630
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License S-406 (LA)
1111 DELAFIELD STREET, Waukesha, WI 53188
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Other Identifiers 1

Medicaid07054LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin James Connor D.d.s., M.d. 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 ID9032235866
PECOS Enrollment IDI20100929000489
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral And Maxillofacial Surgery Associates Of Waukesha, Ltd.
Same address
Oral and Maxillofacial Surgery
1111 DELAFIELD ST, SUITE 222
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1235247834 (262) 547-8665

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

REBECCA A. LA ROCK PAC
Physician Assistant
1111 DELAFIELD STREET, SUITE 311
WAUKESHA, WI 53188
Waukesha County (262) 544-4411
PRACTICE MANAGEMENT GROUP INC
Family Medicine
1111 DELAFIELD STREET, STE 218
WAUKESHA, WI 53188
Waukesha County (262) 574-9093
UROLOGY ASSOCIATES LTD SC
Urology
1111 DELAFIELD STREET, SUITE 207
WAUKESHA, WI 53188
Waukesha County (262) 446-3593
WAUKESHA HEART INSTITUTE, LTD.
Internal Medicine (Interventional Cardiology)
1111 DELAFIELD STREET, SUITE 215
WAUKESHA, WI 53188
Waukesha County (262) 542-0074
MS. SARAH P. HANSEN MD
Pediatrics (Adolescent Medicine)
1111 DELAFIELD STREET, SUITE 115
WAUKESHA, WI 53188
Waukesha County (262) 542-2536
CLAIRE M BENISHEK PAC
Physician Assistant
1111 DELAFIELD STREET, SUITE 311
WAUKESHA, WI 53188
Waukesha County (262) 544-4411
KATHRYN SMITH PA
Physician Assistant
1111 DELAFIELD STREET, SUITE 120
WAUKESHA, WI 53188
Waukesha County (262) 544-4411
MR. SANJAY SINGH M.D.
Internal Medicine (Interventional Cardiology)
1111 DELAFIELD STREET, SUITE 215
WAUKESHA, WI 53188
Waukesha County (262) 542-0074

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 Kevin Connor's NPI number?

The NPI number for Kevin Connor is 1174733588. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kevin Connor located?

Kevin Connor practices at 1111 Delafield Street Suite 222, Waukesha, WI 53188. The listed phone number is (262) 547-8665.

What is Kevin Connor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kevin Connor enrolled in Medicare?

Yes. Kevin Connor 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.

Which organization bills Medicare for Kevin Connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Connor reassigns Medicare benefits to Oral And Maxillofacial Surgery Associates Of Waukesha, Ltd. (Waukesha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Connor accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 7 other insurers list Kevin Connor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Connor was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.