MARY CONNOLLY (M.D.) – Family Medicine Physician, NPI 1174790141
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Loading map...
Provider Addresses for MARY CONNOLLY (M.D.)
1860 PAYSPHERE CIR
CHICAGO, IL 606740018
Phone: (630) 416-7766
Type: Mailing
Hobson Road, Naperville, DuPage County, Illinois, 60517, United States
204
NAPERVILLE, IL 605408139
Phone: (630) 416-7766
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $1,842.
Total Amount is formed as General ($1,842) + Research ($0) + Ownership ($0) = $1,842.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: PFIZER INC. ($172).
Total Amount
$1,842
General + Research + Ownership
Payments
87
Total payment records
General Amount
$1,842
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $172 |
| UCB, Inc. | $114 |
| ABBVIE INC. | $112 |
| ACADIA Pharmaceuticals Inc | $90 |
| AstraZeneca Pharmaceuticals LP | $89 |
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: 2009-09-09
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 |
|---|---|---|---|---|
| I20090909000356 | I | Family Practice | IL | 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 | 242 | 144 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 75 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 51 | 51 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 24 | 23 | $0 |
Insurance plans in this area (ZIP 60674)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | NY | |
| Nurse Practitioner | IL | |
| Allergy/Immunology, Internal Medicine | IL | |
| Internal Medicine, Endocrinology | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.