STEPHANIE ANN CONNELLY (MD) – Internal Medicine Physician, NPI 1023074382
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
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Provider Addresses for STEPHANIE ANN CONNELLY (MD)
1211 UNION AVE STE 330
MEMPHIS, TN 381046655
Phone:
Type: Mailing
1533, Union Avenue, Annesdale Park, Midtown, Memphis, Shelby County, West Tennessee, Tennessee, 38104, United States
MEMPHIS, TN 381043726
Phone: (901) 721-1200
Fax: (901) 721-1212
Type: Location
Memphis Post Office, Mill Lane, Memphis, Clark County, Indiana, 47143, United States
DEPT # 978
MEMPHIS, TN 381480001
Phone: (901) 516-0881
Fax: (901) 516-0528
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 $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-01-23 • Largest payer in this snapshot: Abbott Laboratories ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $25 |
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: 2010-11-12
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 |
|---|---|---|---|---|
| I20101112000746 | I | Internal Medicine | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 545 | 234 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 102 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 134 | 134 | $0 |
| 71046 | X-ray of chest, 2 views | 43 | 40 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 25 | 23 | $0 |
Insurance plans in this area (ZIP 38104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| - | TN | |
| Family Practice | TN | |
| Internal Medicine | TN | |
| - | MS | |
| Nurse Practitioner | TN | |
| - | TN | |
| N E U R O L O G Y | TN | |
| N E U R O L O G Y | TN |
Reviews
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