DR. JAY ROSS CONNELLEY (M.D.) – Family Medicine Physician, NPI 1649250689
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
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Provider Addresses for DR. JAY ROSS CONNELLEY (M.D.)
777, Jordan Drive, Monticello, Drew County, Arkansas, 71655, United States
MONTICELLO, AR 716555719
Phone:
Type: Mailing
PO BOX 417
MONTICELLO, AR 716570417
Phone: (870) 460-9001
Fax: (870) 412-4575
Type: Mailing
Roberts Drive, Monticello, Drew County, Arkansas, 72655, United States
MONTICELLO, AR 716555724
Phone: (870) 367-6867
Fax: (870) 367-1461
Type: Location
777 JORDAN DR
MONTICELLO, AR 716555719
Phone: (870) 723-4921
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 147 Open Payments records for all available years, with a total value of $2,747.
Total Amount is formed as General ($2,747) + Research ($0) + Ownership ($0) = $2,747.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($602).
Total Amount
$2,747
General + Research + Ownership
Payments
147
Total payment records
General Amount
$2,747
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $602 |
| ABBVIE INC. | $573 |
| AstraZeneca Pharmaceuticals LP | $348 |
| Novo Nordisk Inc | $171 |
| Exact Sciences Corporation | $67 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060117001167 | I | Family Practice | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,012 | 329 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 606 | 271 | $0 |
| 81003 | Automated urinalysis test | 259 | 132 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 256 | 256 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 226 | 94 | $0 |
Insurance plans in this area (ZIP 71655)
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Provider's Procedures
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