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DR. PATRICK CONNOLLY MD
NPI 1982655098
Family Medicine in Portland, ME

Active since May 13, 2006PECOS Enrolled
331 VERANDA ST, PORTLAND, ME 04103(207) 791-3781(207) 828-2444 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Patrick Connolly Md NPPES

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

DR. PATRICK CONNOLLY MD (NPI 1982655098) is an individual family medicine provider in Portland, Maine, licensed in Maine (MD13573) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1990).

NPPES Registry Identity

NPI1982655098
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PATRICK CONNOLLYCredential: MD
Location Address331 VERANDA STPortland, ME 04103-5545
Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888 · Fax (207) 828-2449
Phone(207) 791-3781
Fax(207) 828-2444
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1990
Enumeration DateMay 13, 2006
Last NPPES UpdateSeptember 28, 2020
NPPES CertifiedSeptember 28, 2020
✔ NPI 1982655098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD13573
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
331 VERANDA ST, Portland, ME 04103
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Connolly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123064615
PECOS Enrollment IDI20050706000910
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 Reassignment

Medicare enrollment records show Patrick Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Martin's Point Health Care, Inc.
0.1 mi
Family Medicine
331 VERANDA ST
Portland, ME 04104
  • Reassigned Medicare billing, Maine enrollment
  • 153 clinicians in this Medicare group
NPI 1366474611 (207) 791-3888

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 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 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.
108 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
70 services54 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.
62 services62 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
46 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services28 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
39 services36 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%340 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%1,033 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
59%199 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%9,141 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
19%872 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%490 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
52%2,659 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%2,659 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
53%2,659 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
54%2,659 patients
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 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.

LINDA K MORRISON MD
Ophthalmology
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
MR. DAVID GHIORSE PA-C
Physician Assistant
331 VERANDA ST, MARTINS POINT HEALTH CARE
PORTLAND, ME 04103
Cumberland County (207) 828-2402
CARLEEN KNIGHT NP
Nurse Practitioner
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
JOSHUA GELFAND DPT
Physical Therapist
331 VERANDA ST, BUILDING 6, ROOM 3311
PORTLAND, ME 04103
Cumberland County (207) 536-0702
JAMES MCILHENNY RIDDLEBERGER M.D.
Family Medicine
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
GEORGE NICHOLAS WELCH MD
Internal Medicine (Cardiovascular Disease)
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
DR. DOUGLAS COUPER MD
Internal Medicine
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 791-3796
DR. WILLIAM R WADLAND MD
Family Medicine (Geriatric Medicine)
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402

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 1982655098. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Patrick Connolly located?

Patrick Connolly practices at 331 Veranda St, Portland, ME 04103. The listed phone number is (207) 791-3781.

What is Patrick Connolly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patrick Connolly enrolled in Medicare?

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

Which organization bills Medicare for Patrick Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Connolly reassigns Medicare benefits to Martin's Point Health Care, Inc. (Portland, ME). The 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 Patrick Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Patrick Connolly was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.