CONNOR PASSALACQUA
NPI 1598408262
Family Medicine in Boardman, OH

Q: What is Connor Passalacqua's NPI number?

The NPI number for Connor Passalacqua is 1598408262. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Connor Passalacqua's specialty?

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

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment

8423 MARKET ST STE 207, BOARDMAN, OH 44512(330) 729-8700 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2026, Jun 26, 2025, Apr 19, 2022 (3 updates tracked since 2022).

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About Connor Passalacqua NPPES

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

CONNOR PASSALACQUA (NPI 1598408262) is an individual family medicine provider in Boardman, Ohio, licensed in Indiana (01099775A) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1598408262

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCONNOR PASSALACQUA

Location Address8423 MARKET ST STE 207Boardman, OH 44512-6778

Mailing Address966 Bartley StJasper, IN 47546-2641 · (812) 996-7810 · Fax (812) 996-8465

Phone(330) 729-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 19, 2022

Last NPPES UpdateJune 4, 20263 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1598408262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01099775A

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8423 MARKET ST STE 207, Boardman, OH 44512

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Secondary Practice Locations 2

Location 1966 Bartley StJasper, IN 47546-2641 · Phone (812) 996-7810 · Fax (812) 996-8465

Location 2313 Federal Dr NW Ste 200Corydon, IN 47112-3079 · Phone (812) 738-4155

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connor Passalacqua 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 ID345629903

PECOS Enrollment IDI20260609003657

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 Connor Passalacqua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc

316 mi

Rural Health

705 FAIRGROUND RD
Scottsburg, IN 47170

Reassigned Medicare billing, Indiana enrollment
532 clinicians in this Medicare group

NPI 1467057042 (812) 752-0165

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 8

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

DR. MICHAEL THEODORE CRATSLEY MD

Family Medicine (Sports Medicine)