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DR. PATRICK J CONNOLLY M.D.
NPI 1730170358
Orthopaedic Surgery in Worcester, MA

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
119 BELMONT ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 01605(508) 334-9761(508) 334-9769 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Patrick J Connolly M.d. NPPES

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

DR. PATRICK J CONNOLLY M.D. (NPI 1730170358) is an individual orthopaedic surgery provider in Worcester, Massachusetts, licensed in Massachusetts (219956) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Northwestern University Feinberg Medical School (1984).

NPPES Registry Identity

NPI1730170358
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PATRICK J CONNOLLYCredential: M.D.
Location Address119 BELMONT ST, DEPARTMENT OF ORTHOPEDIC SURGERYWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-9761
Fax(508) 334-9769
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1984
Enumeration DateNovember 2, 2005
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1730170358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MA · 219956
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
119 BELMONT ST, Worcester, MA 01605
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Other Identifiers 1

Medicaid110035652AMA

Accepted Insurance

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

Dr. Patrick J Connolly M.d. 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 ID4486546637
PECOS Enrollment IDI20040325000237
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 4

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.
130 services100 patients
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.
76 services60 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.
54 services54 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

DR. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D
Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5571
JASON D YANG
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5224
SANDRA BELLINI N.P.
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-6470
BENJAMIN D. HAMAR MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-0550
WALTER J ZAWACKI NP
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8934
CARYN SULLIVAN LCSW
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
WAYNE WAYFU CHAN M.D.
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-9750
NICHOLAS PAICOS PA STUDENT
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8515

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 Patrick Connolly's NPI number?

The NPI number for Patrick Connolly is 1730170358. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Patrick Connolly located?

Patrick Connolly practices at 119 Belmont St Department Of Orthopedic Surgery, Worcester, MA 01605. The listed phone number is (508) 334-9761.

What is Patrick Connolly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Patrick Connolly enrolled in Medicare?

Yes. Patrick 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 Patrick Connolly accept?

Health plans from Anthem Blue Cross and Blue Shield list Patrick 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.

Is Patrick Connolly affiliated with any hospitals?

According to CMS data, Patrick Connolly is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Patrick Connolly was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.