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KALY R MACCONNELL PA-C
NPI 1295045474
Physician Assistant - Medical in Lansdale, PA

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment
1709 N BROAD ST, LANSDALE, PA 19446(215) 362-5555(215) 362-6353 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Mar 27, 2023, Oct 18, 2022 and 2 more (5 updates tracked since 2018).

About Kaly R Macconnell Pa-c NPPES

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

KALY R MACCONNELL PA-C (NPI 1295045474) is an individual medical provider in Lansdale, Pennsylvania, licensed in Pennsylvania (MA054607) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1295045474
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKALY R MACCONNELLCredential: PA-C
Location Address1709 N BROAD STLansdale, PA 19446-1115
Mailing Address1709 N Broad StLansdale, PA 19446-1115 · (215) 362-5555 · Fax (215) 362-6353
Phone(215) 362-5555
Fax(215) 362-6353
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 20, 2010
Last NPPES UpdateNovember 26, 20255 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1295045474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA054607
Also ListedPhysician AssistantTaxonomy 363A00000X · License OA002538 (PA)
1709 N BROAD ST, Lansdale, PA 19446
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaly R Lutz Pa-c

Secondary Practice Locations 4

Location 11259 S Cedar Crest Blvd Ste 100Allentown, PA 18103-6373 · Phone (610) 437-4134 · Fax (610) 433-9690
Location 2130 S Bryn Mawr Ave Ste H321Bryn Mawr, PA 19010 · Phone (484) 337-4097 · Fax (484) 337-4082
Location 3385 Oxford Valley Rd Ste 420Yardley, PA 19067-7723 · Phone (215) 321-3500
Location 45458 Ridge AvePhiladelphia, PA 19128-3732 · Phone (215) 487-1887 · Fax (215) 487-1818

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kaly R Macconnell Pa-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 ID5890041479
PECOS Enrollment IDI20180712001113
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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
184 services45 patients
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.
93 services91 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
72 services69 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
55 services55 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
32 services21 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
29 services28 patients

Other Providers at the Same Location NPPES 3

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

DR. ALLAN DAVID MINEROFF M.D.
Dermatology
1709 N BROAD ST
LANSDALE, PA 19446
Montgomery County (215) 362-5555
CORY S. KRUEGER, M.D. P.C.
Internal Medicine
1709 N BROAD ST
LANSDALE, PA 19446
Montgomery County (215) 362-2355
ALLAN MINEROFF, MD, PC
Specialist
1709 N BROAD ST
LANSDALE, PA 19446
Montgomery County (215) 362-5555

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 Kaly Macconnell's NPI number?

The NPI number for Kaly Macconnell is 1295045474. It was assigned to this individual provider in the NPPES registry on October 20, 2010. The provider is also known as Kaly R Lutz Pa-C.

Where is Kaly Macconnell located?

Kaly Macconnell practices at 1709 N Broad St, Lansdale, PA 19446. The listed phone number is (215) 362-5555.

What is Kaly Macconnell's specialty?

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

Is Kaly Macconnell enrolled in Medicare?

Yes. Kaly Macconnell 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.

What insurance does Kaly Macconnell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kaly Macconnell 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 Kaly Macconnell was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.