DR. MATTHEW JAMES CONNOLLY (D.P.M.) – Podiatrist, NPI 1023010279

DR. MATTHEW JAMES CONNOLLY (D.P.M.) is a healthcare provider. based in Edgewood, Kentucky. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 244122 (KY). The NPI Number for DR. MATTHEW JAMES CONNOLLY (D.P.M.) is 1023010279

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW JAMES CONNOLLY (D.P.M.)
NPI
1023010279
Phone
(859) 301-2663
Address
560 S LOOP RD
Enumeration Date
1 June 2005
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8593012663
Graduation Year
1986 (40 years ago)
PAC ID
1759294168
Group Practice PAC ID
3173500196
Professional Enrollment ID
I20091205000077
Address ID
KY410173405ED560XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:21State licenses:2Digital endpointsOther names

214 PODIATRY in KY

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Provider Addresses for DR. MATTHEW JAMES CONNOLLY (D.P.M.)

  • South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States

    EDGEWOOD, KY 410173405

    Phone: (859) 301-2663

    Fax: (859) 301-0655

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Averitas Pharma Inc. ($58).

Total Amount

$58

General + Research + Ownership

Payments

1

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Averitas Pharma Inc.$58
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: 2009-12-05

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
I20091205000077IPodiatryKYTBD

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 minutes333227$0
11721Removal of fingernails or toenails, 6 or more nails27298$0
73630X-ray of foot, minimum of 3 views9768$0
99214Established patient office or other outpatient visit, 30-39 minutes6463$0
99203New patient office or other outpatient visit, 30-44 minutes6161$0
View full utilization report →

Insurance plans in this area (ZIP 41017)

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Provider's Procedures

DR. MATTHEW JAMES CONNOLLY (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYKY11720Removal of tissue from 1 to 5 finger or toe nails5028
PODIATRYKY73630X-ray of foot, minimum of 3 views14789

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: 3173500196View full group profile
NameSpecialtyState
P O D I A T R YKY
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physician AssistantKY
P O D I A T R YOH
Physical Therapist In Private PracticeKY
Orthopedic SurgeryKY
Physician AssistantOH
Physical Medicine And RehabilitationOH
Pain Management, Anesthesiology, Interventional Pain ManagementKY

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Frequently asked questions

Is DR. MATTHEW JAMES CONNOLLY (D.P.M.) listed with a National Provider Identifier?
Yes — DR. MATTHEW JAMES CONNOLLY (D.P.M.) has NPI 1023010279 on file in the registry.
Is DR. MATTHEW JAMES CONNOLLY (D.P.M.) shown as active in public data?
Registry records indicate DR. MATTHEW JAMES CONNOLLY (D.P.M.) maintains an active NPI.
How would a patient describe DR. MATTHEW JAMES CONNOLLY (D.P.M.)'s focus?
For DR. MATTHEW JAMES CONNOLLY (D.P.M.), the primary taxonomy reads as Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. MATTHEW JAMES CONNOLLY (D.P.M.) associated with Edgewood?
Public fields place DR. MATTHEW JAMES CONNOLLY (D.P.M.) around Edgewood, Kentucky. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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