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MICHAEL G CONNOLLY JR. MD
NPI 1669423554
Internal Medicine - Sleep Medicine in Clanton, AL

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
2030 LAY DAM RD, CLANTON, AL 35045(205) 258-4424 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael G Connolly Jr. Md NPPES

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

MICHAEL G CONNOLLY JR. MD (NPI 1669423554) is an individual sleep medicine provider in Clanton, Alabama, licensed in Alabama (16393) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1986).

NPPES Registry Identity

NPI1669423554
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameMICHAEL G CONNOLLY JR.Credential: MD
Location Address2030 LAY DAM RDClanton, AL 35045-8344
Mailing Address1022 1st Street North, Suite 401Alabaster, AL 35007 · (205) 664-5935 · Fax (205) 664-5233
Phone(205) 258-4424
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1986
Enumeration DateMay 15, 2006
Last NPPES UpdateJuly 27, 2023
NPPES CertifiedJuly 26, 2023
✔ NPI 1669423554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in AL · 16393
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 16393 (AL)
2030 LAY DAM RD, Clanton, AL 35045
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Other Identifiers 3

Medicaid000027899AL
Medicaid000027902AL
Medicaid000027901AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Michael G Connolly Jr. 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 ID5991782716
PECOS Enrollment IDI20080418000016
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 6

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.
241 services196 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.
30 services30 patients
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.
25 services22 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
22 services21 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
20 services20 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35045 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%1,034 patients3/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers163 claims163 services$34.41 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers33 claims57 services$1.41 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier21 claims42 services$0.97 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
3 suppliers11 claims11 services$1.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
20 suppliers369 claims369 services$77.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
19 suppliers394 claims980 services$30.15 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.

ST VINCENTS CHILTON LLC
Medicare Defined Swing Bed Unit
2030 LAY DAM RD
CLANTON, AL 35045
Chilton County (205) 838-5286
DR. BRANDON BUCHEL MD
Emergency Medicine
2030 LAY DAM RD
CLANTON, AL 35045
Chilton County (205) 258-4400
HEATHER L SAVAGE FNP
Nurse Practitioner (Family)
2030 LAY DAM RD
CLANTON, AL 35045
Chilton County (205) 258-4400
ST VINCENTS CHILTON LLC
General Acute Care Hospital
2030 LAY DAM RD
CLANTON, AL 35045
Chilton County (205) 258-4400
MICHELLE LEE HUDSON CRNP
Nurse Practitioner (Family)
2030 LAY DAM RD
CLANTON, AL 35045
Chilton County (205) 258-4400
ST. VINCENT'S ORTHOPEDICS, PC
Durable Medical Equipment & Medical Supplies
2030 LAY DAM RD, FL 1 POD B
CLANTON, AL 35045
Chilton County (205) 258-4464
DR. KATHLEEN HALL KINNE DPT
Physical Therapist
2030 LAY DAM RD
CLANTON, AL 35045
Chilton County (205) 755-6110
EMILY W BURNETTE DPT
Physical Therapist
2030 LAY DAM RD
CLANTON, AL 35045
Chilton County (205) 755-6110

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 1669423554. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Michael Connolly located?

Michael Connolly practices at 2030 Lay Dam Rd, Clanton, AL 35045. The listed phone number is (205) 258-4424.

What is Michael Connolly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

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.

What insurance does Michael Connolly accept?

Health plans from Blue Cross and Blue Shield of Alabama list Michael Connolly 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.

When was this NPI record last updated?

The NPPES record for Michael Connolly was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.