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MICHAEL P. MCCONNELL MD
NPI 1629117320
Surgery - Plastic and Reconstructive Surgery in Fullerton, CA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
100 E VALENCIA MESA DR, SUITE 311, FULLERTON, CA 92835(714) 446-5180(714) 446-5181 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2021, Oct 21, 2020, Sep 18, 2018 (3 updates tracked since 2018).

About Michael P. Mcconnell Md NPPES

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

MICHAEL P. MCCONNELL MD (NPI 1629117320) is an individual plastic and reconstructive surgery provider in Fullerton, California, licensed in California (A75410) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1999).

NPPES Registry Identity

NPI1629117320
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMICHAEL P. MCCONNELLCredential: MD
Location Address100 E VALENCIA MESA DR, SUITE 311Fullerton, CA 92835-3813
Mailing Address100 E Valencia Mesa Dr Ste 311Fullerton, CA 92835-3800
Phone(714) 446-5180
Fax(714) 446-5181
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1999
Enumeration DateFebruary 6, 2007
Last NPPES UpdateNovember 8, 20213 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1629117320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CA · A75410
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License A75410 (CA)
100 E VALENCIA MESA DR, Fullerton, CA 92835
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A754100CA

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

Michael P. Mcconnell Md 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 ID3678514577
PECOS Enrollment IDI20050520000724
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 Michael Mcconnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
1.9 mi
Family Medicine
955 W IMPERIAL HWY STE 110
Brea, CA 92821
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1871607762 (714) 449-4900

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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
11 services11 patients

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.

ANDREW TIEN DUKE M.D.
Internal Medicine (Critical Care Medicine)
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 992-3969
BOWEN JIANG M.D.
Neurological Surgery
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Orange County (714) 734-3120
CHIKA KAWASHIMA
Physician Assistant
100 E VALENCIA MESA DR, SUITE 310
FULLERTON, CA 92835
Orange County (714) 446-5527
MONICA MARTYN RD
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 111
FULLERTON, CA 92835
Orange County (714) 446-5369
BENJAMIN ROTHMAN A PHARMACY CORPORATION
Pharmacy (Community/Retail Pharmacy)
100 E VALENCIA MESA DR, SUITE 106
FULLERTON, CA 92835
Orange County (714) 992-1234
EUGENE BYUN MD
Internal Medicine (Interventional Cardiology)
100 E VALENCIA MESA DR, SUITE 206
FULLERTON, CA 92835
Orange County (714) 446-5050
RENEE M. SODERQUIST RD
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835
Orange County (714) 446-5640
DENNIS WAYNE BRILEY PA
Physician Assistant (Surgical)
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835
Orange County (714) 446-5200

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 Mcconnell's NPI number?

The NPI number for Michael Mcconnell is 1629117320. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Michael Mcconnell located?

Michael Mcconnell practices at 100 E Valencia Mesa Dr Suite 311, Fullerton, CA 92835. The listed phone number is (714) 446-5180.

What is Michael Mcconnell's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Michael Mcconnell enrolled in Medicare?

Yes. Michael Mcconnell 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.

Which organization bills Medicare for Michael Mcconnell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcconnell reassigns Medicare benefits to Providence Medical Foundation (Brea, CA). 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 Michael Mcconnell'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 Michael Mcconnell was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.