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THOMAS CARROLL CONNOLLY M.D.
NPI 1922091123
Orthopaedic Surgery in Jersey Shore, PA

Active since August 24, 2005PECOS Enrolled
1020 THOMPSON ST, JERSEY SHORE, PA 17740(570) 398-1991(570) 398-4607 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Aug 19, 2020, Jul 10, 2017 (3 updates tracked since 2017).

About Thomas Carroll Connolly M.d. NPPES

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

THOMAS CARROLL CONNOLLY M.D. (NPI 1922091123) is an individual orthopaedic surgery provider in Jersey Shore, Pennsylvania, licensed in Pennsylvania (MD035105E) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922091123
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS CARROLL CONNOLLYCredential: M.D.
Location Address1020 THOMPSON STJersey Shore, PA 17740-1729
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Phone(570) 398-1991
Fax(570) 398-4607
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1922091123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD035105E
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.
1020 THOMPSON ST, Jersey Shore, PA 17740
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Other Identifiers 1

Medicaid01791311PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Carroll Connolly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Connolly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
Same address
Internal Medicine
1020 THOMPSON ST
Jersey Shore, PA 17740
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1023616471 (570) 398-1991
Geisinger-Hm Joint Venture, LLC
11 mi
Family Medicine
68 SPRING STREET
Lock Haven, PA 17445
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,405 clinicians in this Medicare group
NPI 1144876137 (800) 230-4565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
136 services25 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17740 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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. MICHAEL LAWRENCE ROBINSON M.D.
Hospitalist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-3117
ANGELA ROSE EARLY OTR/L
Occupational Therapist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-3111
GEISINGER CLINIC
Internal Medicine
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-1991
RHONDA BIRD SCHLORFF LDN
Dietitian, Registered
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-0100
DR. CHRISTOPHER JAMES LESHER PHARMD
Pharmacist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-0100
LYNN ANN GROVE CRNA, CRNP
Nurse Anesthetist, Certified Registered
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-5131
THOMAS MCBRIDE OTR/L
Occupational Therapist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-3111
KIERSTEN LEIGH BETZ RT (R), PA-C
Physician Assistant
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (507) 398-0100

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 Thomas Connolly's NPI number?

The NPI number for Thomas Connolly is 1922091123. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Thomas Connolly located?

Thomas Connolly practices at 1020 Thompson St, Jersey Shore, PA 17740. The listed phone number is (570) 398-1991.

What is Thomas Connolly's specialty?

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

Is Thomas Connolly enrolled in Medicare?

Yes. Thomas Connolly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Connolly reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Jersey Shore, PA) and Geisinger-Hm Joint Venture, LLC (Lock Haven, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Connolly was last updated on March 7, 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.