MR. JOHN THOMAS III CONNELLY (PA-C) – Surgical Physician Assistant, NPI 1164866646
Surgical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. JOHN THOMAS III CONNELLY (PA-C)
1150 N. 35th Avenue
Suite 490
Hollywood, FL 33021
Phone: (954) 265-1616
Fax: (954) 893-6325
Type: Location
146 E Hospital Dr Ste 200
West Columbia, SC 291694800
Phone: (803) 936-7530
Fax: (803) 936-7532
Type: Location
320 S SURF RD.
APT. 605
HOLLYWOOD, FL 33019
Phone: (724) 462-5616
Type: Mailing
1150 N. 35TH AVENUE
SUITE 490
HOLLYWOOD, FL 33021
Phone: (954) 265-1616
Fax: (954) 893-6325
Type: Location
500 NORTHRIDGE RD STE 400
ATLANTA, GA 303503314
Phone: (803) 736-3277
Type: Mailing
145 PARK CENTRAL DR STE 100
COLUMBIA, SC 292036469
Phone: (803) 736-3277
Fax: (803) 408-8698
Type: Location
PO BOX 6069
WEST COLUMBIA, SC 291716069
Phone: (803) 936-7530
Fax: (803) 936-7532
Type: Mailing
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 291694800
Phone: (803) 936-7530
Fax: (803) 936-7532
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($35).
Total Amount
$148
General + Research + Ownership
Payments
8
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $35 |
| Kerecis Limited | $31 |
| AERIN MEDICAL INC. | $20 |
| ABBVIE INC. | $17 |
| Integra LifeSciences Corporation | $16 |
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: 2022-09-12
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 |
|---|---|---|---|---|
| I20220912000270 | I | Physician Assistant | SC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 340 | 262 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 199 | 199 | $0 |
| 69210 | Removal of impacted ear wax | 185 | 156 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 67 | 66 | $0 |
| 95117 | Professional service for multiple injections of allergen | 36 | 15 | $0 |
Insurance plans in this area (ZIP 33021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| - | SC | |
| Physician Assistant | KY | |
| Qualified Audiologist | KS | |
| Physical Therapist In Private Practice | SC | |
| Physician Assistant | SC | |
| O T O L A R Y N G O L O G Y | SC | |
| Physician Assistant | NC | |
| Qualified Audiologist | SC | |
| Otolaryngology, Allergy/Immunology | SC |
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