MARGARET M CONNELLY
NPI 1376285510
Physician Assistant in Ballwin, MO

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
13861 MANCHESTER RD, BALLWIN, MO 63011(636) 932-8029 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2022, Apr 8, 2022 (2 updates tracked since 2022).

About Margaret M Connelly NPPES

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

MARGARET M CONNELLY (NPI 1376285510) is an individual physician assistant in Ballwin, Missouri, licensed in Missouri (2022012581) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376285510
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARGARET M CONNELLY
Location Address13861 MANCHESTER RDBallwin, MO 63011-4503
Mailing Address2164 Avalon View DrFenton, MO 63026-2692 · (314) 277-8075
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2022
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1376285510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2022012581
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

13861 MANCHESTER RD, Ballwin, MO 63011

Accepted 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

Margaret M Connelly 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 ID9133507510
PECOS Enrollment IDI20220526001738
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 15

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services83 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
81 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
36 services36 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
27 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
Emergency Medicine
13861 MANCHESTER RD
BALLWIN, MO 63011
Physician Assistant
13861 MANCHESTER RD
BALLWIN, MO 63011
Clinic/Center (Urgent Care)
13861 MANCHESTER RD
BALLWIN, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
MANCHESTER, MO 63011
Physician Assistant
13861 MANCHESTER RD
MANCHESTER, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011

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 Margaret Connelly's NPI number?

The NPI number for Margaret Connelly is 1376285510. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Margaret Connelly located?

Margaret Connelly practices at 13861 Manchester Rd, Ballwin, MO 63011. The listed phone number is (636) 932-8029.

What is Margaret Connelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Margaret Connelly enrolled in Medicare?

Yes. Margaret Connelly 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 Margaret Connelly accept?

Health plans from Cox HealthPlans list Margaret Connelly 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.

Is Margaret Connelly affiliated with any hospitals?

According to CMS data, Margaret Connelly is affiliated with Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Connelly was last updated on April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.