JOHN E CONNELLY (DO) – Family Medicine Physician, NPI 1013982867

JOHN E CONNELLY (DO) is a healthcare provider. based in Allentown, Pennsylvania. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. OS007130L (PA). The NPI Number for JOHN E CONNELLY (DO) is 1013982867

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JOHN E CONNELLY (DO)
NPI
1013982867
Phone
(610) 954-6048
Address
501 N 17TH ST
Enumeration Date
22 February 2006
Last Update Date
22 December 2011

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
6608815105
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20050425000980
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN E CONNELLY (DO)

  • 501, North 17th Street, West Park, Allentown, Lehigh County, Pennsylvania, 18104, United States

    SUITE #108

    ALLENTOWN, PA 181045044

    Phone: (610) 954-6048

    Fax: (610) 954-3189

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050425000980IFamily PracticePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes354176$0
G0008Administration of influenza virus vaccine7069$0
90662Influenza vaccine split virus, preservative free6362$0
99213Established patient office or other outpatient visit, 20-29 minutes6347$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5757$0
View full utilization report →

Insurance plans in this area (ZIP 18104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709798333View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN E CONNELLY (DO)'s NPI?
Yes. JOHN E CONNELLY (DO) is listed with NPI 1013982867 in the public NPI dataset.
Is JOHN E CONNELLY (DO) listed as active for patients and plans?
The listing shows JOHN E CONNELLY (DO) as active in the NPI system.
What is JOHN E CONNELLY (DO) best known for clinically?
Directory data describes JOHN E CONNELLY (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JOHN E CONNELLY (DO) serve?
JOHN E CONNELLY (DO)'s listing highlights Allentown, Pennsylvania; more addresses can appear in NPPES.
Is the information about JOHN E CONNELLY (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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