DR. MARK M. CONNOLLY (M.D.) – Surgical Oncology Physician, NPI 1033162839

DR. MARK M. CONNOLLY (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 036063941 (IL). The NPI Number for DR. MARK M. CONNOLLY (M.D.) is 1033162839

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK M. CONNOLLY (M.D.)
NPI
1033162839
Phone
(773) 472-3427
Address
2845 N Sheridan Rd
Enumeration Date
19 May 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
8224024245
Group Practice PAC ID
2860396769
Professional Enrollment ID
I20040423000667
Address ID
IL606577227CH331XXSTXX400

Contacts

Secure Messaging
mconnolly5876@ce-direct.presencehealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,423 GENERAL SURGERY in IL

Provider Addresses for DR. MARK M. CONNOLLY (M.D.)

  • 2845 N Sheridan Rd

    Chicago, IL 606577227

    Phone: (773) 472-3427

    Type: Location

  • PO BOX 597995

    CHICAGO, IL 606597995

    Phone: (773) 472-3427

    Fax: (773) 472-8561

    Type: Mailing

  • 2913, North Commonwealth Avenue, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    5TH FLOOR

    CHICAGO, IL 606576211

    Phone: (773) 472-3427

    Fax: (773) 472-8561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $238.

Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: PUMA BIOTECHNOLOGY, INC. ($76).

Total Amount

$238

General + Research + Ownership

Payments

6

Total payment records

General Amount

$238

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040423000667IGeneral SurgeryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8264$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3734$0
99212Established patient office or other outpatient visit, 10-19 minutes2118$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2019$0
99205New patient office or other outpatient visit, 60-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 60657)

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Provider's Procedures

DR. MARK M. CONNOLLY (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYIL36556Insertion of central venous catheter for infusion, patient 5 years or older5047

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860396769View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. MARK M. CONNOLLY (M.D.)?
The registry entry for DR. MARK M. CONNOLLY (M.D.) shows NPI 1033162839.
Is DR. MARK M. CONNOLLY (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARK M. CONNOLLY (M.D.) as active.
Which specialty label fits DR. MARK M. CONNOLLY (M.D.)?
NPPES ties DR. MARK M. CONNOLLY (M.D.) to Surgical Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MARK M. CONNOLLY (M.D.)?
The directory associates DR. MARK M. CONNOLLY (M.D.) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
Can I export DR. MARK M. CONNOLLY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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