THOMAS CONNOLLY PT, DPT
NPI 1679220024
Physical Medicine & Rehabilitation - Sports Medicine in New York, NY


Quality Rating: 93.67 out of 100 score

NPI Status: Active since March 06, 2022

Contact Information

1110 2ND AVE RM 302
NEW YORK, NY
ZIP 10022
Phone: (212) 842-0080
Fax: (917) 591-8494

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  • Individual
  • Male
  • Physical Medicine & Rehabilitation
  • Sports Medicine
  • Accepts Insurance

About THOMAS CONNOLLY

This page provides the complete NPI Profile along with additional information for Thomas Connolly, a provider established in New York, New York with a medical specialization in Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1679220024 assigned on March 2022. The practitioner's primary taxonomy code is 2081S0010X with license number 046654-01 (NY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1679220024
Provider Name
THOMAS CONNOLLY PT, DPT
Gender
Male
Entity Type
Individual
Location Address
1110 2ND AVE RM 302 NEW YORK, NY 10022
Location Phone
(212) 842-0080
Location Fax
(917) 591-8494
Mailing Address
1110 2ND AVE RM 302 NEW YORK, NY 10022
Mailing Phone
(212) 842-0080
Mailing Fax
(917) 591-8494
Is Sole Proprietor?
No
Enumeration Date
03-06-2022
Last Update Date
03-06-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
License No.
046654-01
License State
NY
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.67, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 93.67 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 92.55

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679220024, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 4 + 2 + 0 + 0 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1679220024.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Physical Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Physical Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Clinic/Center (Physical Therapy)
1110 2ND AVE RM 302
NEW YORK, NY 10022
Physical Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679220024, enumerated as an "individual" on March 06, 2022.

The provider is located at 1110 2ND AVE RM 302 NEW YORK, NY 10022 and the phone number is (212) 842-0080.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.