DR. COYLE S CONNOLLY (D.O. PA) – Dermatology Physician, NPI 1386601433
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 DERMATOLOGY in NJ
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Provider Addresses for DR. COYLE S CONNOLLY (D.O. PA)
2099, New Albany Road, Moorestown, Cinnaminson Township, Burlington County, New Jersey, 08077, United States
CINNAMINSON, NJ 080773534
Phone: (609) 926-8899
Fax: (856) 772-1997
Type: Mailing
New Road, Linwood Greene, Steelmanville, Linwood, Atlantic County, New Jersey, 08221, United States
LINWOOD, NJ 082211050
Phone: (609) 926-8899
Fax: (609) 926-6474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Merz North America, Inc. ($89).
Total Amount
$89
General + Research + Ownership
Payments
2
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $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: 2022-11-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040315000876 | I | Dermatology | NJ | TBD |
| I20200908000492 | I | Dermatology | PA | TBD |
| I20221102003075 | I | Dermatology | DE | 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 |
|---|---|---|---|---|
| 77401 | Superficial and/or low voltage radiation treatment delivery | 10,244 | 662 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 9,390 | 736 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 2,748 | 568 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 1,158 | 203 | $0 |
| 77300 | Calculation of radiation therapy dose | 899 | 683 | $0 |
Insurance plans in this area (ZIP 08077)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NJ | 11101 | Biopsy of each additional growth of skin and/or tissue | 77 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| - | SC | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | PA | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ |
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