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DR. LLOYD GEORGE CONNELLY III M.D., PH.D.
NPI 1326254871
Emergency Medicine in Clackamas, OR

Active since May 14, 2007PECOS Enrolled
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 652-2880 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lloyd George Connelly Iii M.d., Ph.d. NPPES

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

DR. LLOYD GEORGE CONNELLY III M.D., PH.D. (NPI 1326254871) is an individual emergency medicine provider in Clackamas, Oregon, licensed in Oregon (MD271979) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326254871
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. LLOYD GEORGE CONNELLY IIICredential: M.D., PH.D.
Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750
Mailing Address9800 Se Sunnyside RdClackamas, OR 97015-9750 · (503) 652-2880
Phone(503) 652-2880
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateApril 28, 2010
✔ NPI 1326254871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · MD271979
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9800 SE SUNNYSIDE RD, Clackamas, OR 97015
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lloyd George Connelly Iii M.d., Ph.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 Reassignment

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

Kaiser Foundation Health Plan Of The Northwest
0.1 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

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

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

ASHLEY R JORDAN
Nurse Practitioner (Family)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
MICHAEL HOLLENBACK P.A.-C.
Physician Assistant (Surgical)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
DR. CALVERT JOHN SHIPLEY M.D.
Family Medicine
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
JAY JOO M.D.
Pediatrics
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
TRISHA ZANDER
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-1319
NATASHA WARIKOO PHD
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
THANH VAN HOANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879
HANNAH LARSEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879

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 Lloyd Connelly's NPI number?

The NPI number for Lloyd Connelly is 1326254871. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Lloyd Connelly located?

Lloyd Connelly practices at 9800 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 652-2880.

What is Lloyd Connelly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lloyd Connelly enrolled in Medicare?

Yes. Lloyd Connelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lloyd Connelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lloyd Connelly reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Lloyd Connelly'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 Lloyd Connelly was last updated on April 28, 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.