KEVIN CONNOLLY – Otolaryngology Physician, NPI 1104352764
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
179 OTOLARYNGOLOGY in KY
Provider Addresses for KEVIN CONNOLLY
500 S PRESTON ST RM 305
LOUISVILLE, KY 402021702
Phone: (859) 547-7874
Type: Mailing
410 Malcolm Dr Ste E
Westminster, MD 211576160
Phone: (410) 876-9300
Type: Location
10025 Governor Warfield Pkwy Ste 101
Columbia, MD 210443308
Phone: (410) 356-2626
Type: Location
5233 King Ave Ste 112
Rosedale, MD 212374003
Phone: (410) 391-1118
Type: Location
6701 DEMOCRACY BLVD STE 300
BETHESDA, MD 208177500
Phone: (859) 547-7874
Type: Mailing
23 CROSSROADS DR STE 400
OWINGS MILLS, MD 211175490
Phone: (410) 356-2626
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,687.
Total Amount is formed as General ($1,687) + Research ($0) + Ownership ($0) = $1,687.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($660).
Total Amount
$1,687
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,687
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $660 |
| Regeneron Healthcare Solutions, Inc. | $316 |
| GENZYME CORPORATION | $255 |
| GlaxoSmithKline, LLC. | $199 |
| SANOFI-AVENTIS U.S. LLC | $123 |
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: 2023-06-06
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 |
|---|---|---|---|---|
| I20230606001166 | I | Otolaryngology | MD | 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 | 126 | 115 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 112 | 112 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 77 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 59 | $0 |
| 69210 | Removal of impacted ear wax | 57 | 55 | $0 |
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| O T O L A R Y N G O L O G Y | MD | |
| Qualified Audiologist | MD | |
| Qualified Audiologist | MD | |
| Physical Therapist In Private Practice | MD | |
| A L L E R G Y/ I M M U N O L O G Y | MD | |
| Physician Assistant | MD | |
| Qualified Audiologist | MD | |
| Qualified Audiologist | MD | |
| Qualified Audiologist | MD |
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