DR. ADRIAN L III CONNOLLY (M.D.) – Dermatology Physician, NPI 1922001650
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 DERMATOLOGY in NJ
Provider Addresses for DR. ADRIAN L III CONNOLLY (M.D.)
101 OLD SHORT HILLS RD
STE 503
WEST ORANGE, NJ 070521023
Phone: (973) 731-9131
Fax: (973) 731-9201
Type: Mailing
201 S LIVINGSTON AVE STE 1C
LIVINGSTON, NJ 070394040
Phone: (908) 509-1938
Fax: (856) 543-9095
Type: Mailing
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $17 |
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: 2005-03-15
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 |
|---|---|---|---|---|
| I20050315000027 | I | Dermatology | NJ | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 1,155 | 551 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,041 | 690 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 655 | 194 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 447 | 328 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 294 | 239 | $0 |
Insurance plans in this area (ZIP 07052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | NJ |
Reviews
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