DR. REBECCA CONNELLY OD
NPI 1467079137
Optometrist in Fort Collins, CO

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment
3501 S SHIELDS ST, FORT COLLINS, CO 80526(970) 490-2020 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2021, Jun 29, 2020 (2 updates tracked since 2020).

About Dr. Rebecca Connelly Od NPPES

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

DR. REBECCA CONNELLY OD (NPI 1467079137) is an individual optometrist in Fort Collins, Colorado, licensed in Colorado (0003595) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2020).

NPPES Registry Identity

NPI1467079137
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. REBECCA CONNELLYCredential: OD
Location Address3501 S SHIELDS STFort Collins, CO 80526-2583
Mailing Address2908 Des Moines DrFort Collins, CO 80525-6686 · (815) 931-0011
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2020
Enumeration DateJune 29, 2020
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
NPI 1467079137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CO · 0003595
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3501 S SHIELDS ST, Fort Collins, CO 80526

Other Identifiers 1

Other0003595CO · Colorado Department Of Regulatory Agencies

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

Dr. Rebecca Connelly Od 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 ID840615423
PECOS Enrollment IDI20241209002179
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80526 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 2

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

Optometrist
3501 S SHIELDS ST
FORT COLLINS, CO 80526
Clinic/Center
3501 S SHIELDS ST
FORT COLLINS, CO 80526

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 Rebecca Connelly's NPI number?

The NPI number for Rebecca Connelly is 1467079137. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Rebecca Connelly located?

Rebecca Connelly practices at 3501 S Shields St, Fort Collins, CO 80526. The listed phone number is (970) 490-2020.

What is Rebecca Connelly's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rebecca Connelly enrolled in Medicare?

Yes. Rebecca 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.

When was this NPI record last updated?

The NPPES record for Rebecca Connelly was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.