MICHAEL EDWARD CONNOLLY M.D.
NPI 1538110960
Family Medicine in Quincy, IL

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
612 N 11TH ST, QUINCY, IL 62301(217) 224-9484(217) 224-7950 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2017, Dec 15, 2016, Nov 15, 2016 (3 updates tracked since 2016).

About Michael Edward Connolly M.d. NPPES

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

MICHAEL EDWARD CONNOLLY M.D. (NPI 1538110960) is an individual family medicine provider in Quincy, Illinois, licensed in Illinois (036-108107) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Rush Medical College Of Rush University (1999).

NPPES Registry Identity

NPI1538110960
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL EDWARD CONNOLLYCredential: M.D.
Location Address612 N 11TH STQuincy, IL 62301-2662
Mailing Address612 N 11th StQuincy, IL 62301-2662 · (217) 224-9484 · Fax (217) 224-7950
Fax(217) 224-7950
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 9, 20173 updates tracked since enumeration
NPI 1538110960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036-108107 Licensed in IA · 34949 Licensed in WI · 45217
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

612 N 11TH ST, Quincy, IL 62301

Other Identifiers 3

Medicaid34328300WI
Medicare UPINH78107
Medicare PINF400353359IL

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

Michael Edward Connolly M.d. 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 ID7719913391
PECOS Enrollment IDI20050714000789, I20170105000490
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
133 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.91 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier20 claims20 services$118.66 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier24 claims24 services$17.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers52 claims52 services$113.48 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$36.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker
612 N 11TH ST
QUINCY, IL 62301
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Pharmacist
612 N 11TH ST
QUINCY, IL 62301
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Internal Medicine
612 N 11TH ST
QUINCY, IL 62301
Family Medicine
612 N 11TH ST
QUINCY, IL 62301

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 Michael Connolly's NPI number?

The NPI number for Michael Connolly is 1538110960. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Michael Connolly located?

Michael Connolly practices at 612 N 11th St, Quincy, IL 62301. The listed phone number is (217) 224-9484.

What is Michael Connolly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Connolly enrolled in Medicare?

Yes. Michael Connolly 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.

Is Michael Connolly affiliated with any hospitals?

According to CMS data, Michael Connolly is affiliated with Blessing Hospital.

When was this NPI record last updated?

The NPPES record for Michael Connolly was last updated on January 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.