AMY G. CONNOLLY (PA-C) – Physician Assistant, NPI 1033106331
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for AMY G. CONNOLLY (PA-C)
7348 RAFFORD LN
WEST BLOOMFIELD, MI 483223190
Phone: (248) 592-0733
Type: Mailing
22255 GREENFIELD RD STE 590
SOUTHFIELD, MI 480753734
Phone: (248) 849-4990
Fax: (248) 849-4991
Type: Location
Warren Ave Community, Detroit, Wayne County, Michigan, 48228, United States
DETROIT, MI 482283242
Phone: (313) 271-0500
Fax: (313) 271-9313
Type: Location
22250 Providence Dr Ste 702
Southfield, MI 480756215
Phone: (248) 849-4990
Fax: (248) 849-4991
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($107).
Total Amount
$183
General + Research + Ownership
Payments
5
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $107 |
| Exact Sciences Corporation | $23 |
| Novo Nordisk Inc | $22 |
| AstraZeneca Pharmaceuticals LP | $15 |
| Lilly USA, LLC | $15 |
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: 2004-04-17
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 |
|---|---|---|---|---|
| I20040417000051 | I | Physician Assistant | MI | 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 | 48 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 27 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 32 | 25 | $0 |
| 83036 | Hemoglobin a1c level | 20 | 16 | $0 |
| 81003 | Automated urinalysis test | 15 | 14 | $0 |
Insurance plans in this area (ZIP 48322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | ME | |
| Internal Medicine | MI | |
| E N D O C R I N O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Internal Medicine | MI |
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