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: July 19, 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
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

Other Identifiers 3

Medicaid000027899AL
Medicaid000027902AL
Medicaid000027901AL

Accepted 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 11

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, 20-29 minutes 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.
305 services278 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
134 services102 patients
Therapy procedure using a positive pressure ventilator 94660
A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.
45 services45 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.
42 services42 patients
New patient office or other outpatient visit, 45-59 minutes 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.
40 services40 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.
38 services38 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.

Nurse Practitioner (Family)
2030 LAY DAM RD
CLANTON, AL 35045
Internal Medicine (Cardiovascular Disease)
2030 LAY DAM RD
CLANTON, AL 35045
Orthopaedic Surgery
2030 LAY DAM RD
CLANTON, AL 35045
Emergency Medicine
2030 LAY DAM RD
CLANTON, AL 35045
Internal Medicine (Cardiovascular Disease)
2030 LAY DAM RD
CLANTON, AL 35045
Internal Medicine (Cardiovascular Disease)
2030 LAY DAM RD
CLANTON, AL 35045
Occupational Therapist (Hand)
2030 LAY DAM RD
CLANTON, AL 35045
Internal Medicine (Cardiovascular Disease)
2030 LAY DAM RD
CLANTON, AL 35045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669423554, enumerated as an "individual" on May 15, 2006.

The provider is located at 2030 LAY DAM RD CLANTON, AL 35045 and the phone number is (205) 258-4424.

Internal Medicine with taxonomy code 207RS0012X and a focus in Sleep Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare. Please consult your insurance carrier or call the provider to verify.