DR. CHARLES WILLIAM CONNOLLY (DPM) – Podiatrist, NPI 1932105095
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PODIATRY in MA
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Provider Addresses for DR. CHARLES WILLIAM CONNOLLY (DPM)
120;124;124A, College Avenue, West Somerville, Somerville, Middlesex County, Massachusetts, 02144, United States
SOMERVILLE, MA 021441919
Phone: (781) 593-1700
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)
No Open Payments data available for this provider.
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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: 2006-04-17
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 |
|---|---|---|---|---|
| I20060417000047 | I | Podiatry | MA | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 1,457 | 482 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 514 | 178 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 242 | 162 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 196 | 196 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 83 | 45 | $0 |
Insurance plans in this area (ZIP 02144)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | MA | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 39 | 26 |
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