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CAROLYN J O'CONNOR MD
NPI 1851328413
Internal Medicine in Southbury, CT

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
385 MAIN ST S, SUITE 106, SOUTHBURY, CT 06488(203) 262-4600 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn J O'connor Md NPPES

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

CAROLYN J O'CONNOR MD (NPI 1851328413) is an individual internal medicine provider in Southbury, Connecticut, licensed in Connecticut (041131) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1996).

NPPES Registry Identity

NPI1851328413
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCAROLYN J O'CONNORCredential: MD
Location Address385 MAIN ST S, SUITE 106Southbury, CT 06488-4240
Mailing Address385 Main St S, Suite106Southbury, CT 06488-4240 · (203) 262-4600
Phone(203) 262-4600
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1996
Enumeration DateJune 27, 2006
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1851328413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 041131
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
385 MAIN ST S, Southbury, CT 06488
Open in Google Maps ↗

Other Identifiers 1

Medicaid001411313CT

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

Carolyn J O'connor 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 ID143259275
PECOS Enrollment IDI20110422000299
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 9

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.
338 services206 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
135 services135 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
128 services128 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.
113 services88 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
68 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
48%88 patients2/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DONNA M. LEDDY RPT
Physical Therapist
385 MAIN ST S, SUITE 212
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4603
MS. MAUREEN KEEGAN BOYD RPT
Physical Therapist
385 MAIN ST S, STE 212
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4603
MICHAEL MALIN MD
Radiology (Diagnostic Radiology)
385 MAIN ST S, UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
JANE HUNTER
Internal Medicine
385 MAIN ST S, SUITE 106 UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 262-4600
LAURA A. KAPLAN MD
Radiology (Diagnostic Radiology)
385 MAIN ST S
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
GREGORY GERSTEN MD
Radiology (Diagnostic Radiology)
385 MAIN ST S, UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
SOUTHBURY SMILES, LLC
Dentist (General Practice)
385 MAIN ST S, SUITE 210
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-1620
ROBERT LEHMAN MD
Radiology (Diagnostic Radiology)
385 MAIN ST S, UNION SQUARE BLDG#2
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999

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 Carolyn O'connor's NPI number?

The NPI number for Carolyn O'connor is 1851328413. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Carolyn O'connor located?

Carolyn O'connor practices at 385 Main St S Suite 106, Southbury, CT 06488. The listed phone number is (203) 262-4600.

What is Carolyn O'connor's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carolyn O'connor enrolled in Medicare?

Yes. Carolyn O'connor 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.

When was this NPI record last updated?

The NPPES record for Carolyn O'connor was last updated on October 28, 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.