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CONNOR SCOTT CORCORAN M.D.
NPI 1205298593
Pediatrics in Placerville, CA

Active since March 24, 2016PECOS Enrolled
4341 GOLDEN CENTER DR BLDG A, PLACERVILLE, CA 95667(530) 626-1144 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2023, Nov 15, 2019, Jun 14, 2019 and 2 more (5 updates tracked since 2016).

About Connor Scott Corcoran M.d. NPPES

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

CONNOR SCOTT CORCORAN M.D. (NPI 1205298593) is an individual pediatrics provider in Placerville, California, licensed in Missouri (2023004964) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Saint Louis.

NPPES Registry Identity

NPI1205298593
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCONNOR SCOTT CORCORANCredential: M.D.
Location Address4341 GOLDEN CENTER DR BLDG APlacerville, CA 95667-6260
Mailing Address4341 Golden Center Dr Bldg APlacerville, CA 95667-6260 · (530) 626-1144
Phone(530) 626-1144
Sole ProprietorNo
Enumeration DateMarch 24, 2016
Last NPPES UpdateOctober 15, 20255 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1205298593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2023004964
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4341 GOLDEN CENTER DR BLDG A, Placerville, CA 95667
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Secondary Practice Location 1

Location 1100 Medical PlzLake Saint Louis, MO 63367-1366 · Phone (314) 628-4095

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Scott Corcoran M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Connor Corcoran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
1,610 mi
Emergency Medicine
500 MEDICAL DR
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1588618755 (636) 327-1117
Ssm Cardinal Glennon Childrens Hospital
1,634 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 76 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

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 95667 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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

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

SUZANNE JANE HIGGINS STEWART MD
Pediatrics
4341 GOLDEN CENTER DR BLDG A
PLACERVILLE, CA 95667
El Dorado County (530) 626-1144

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 Connor Corcoran's NPI number?

The NPI number for Connor Corcoran is 1205298593. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Connor Corcoran located?

Connor Corcoran practices at 4341 Golden Center Dr Bldg A, Placerville, CA 95667. The listed phone number is (530) 626-1144.

What is Connor Corcoran's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Connor Corcoran enrolled in Medicare?

Yes. Connor Corcoran is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Connor Corcoran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Corcoran reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Wentzville, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each 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 Connor Corcoran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connor Corcoran was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.