DR. KEVIN J. CONNOLLY (M.D.) – Family Medicine Physician, NPI 1124061650

DR. KEVIN J. CONNOLLY (M.D.) is a healthcare provider. based in Bradford, Vermont. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 0420009101 (VT). The NPI Number for DR. KEVIN J. CONNOLLY (M.D.) is 1124061650

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN J. CONNOLLY (M.D.)
NPI
1124061650
Phone
(802) 222-5562
Address
437 S MAIN ST
Enumeration Date
13 June 2006
Last Update Date
16 August 2010

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
8022229317
Graduation Year
1983 (43 years ago)
PAC ID
6901824671
Group Practice PAC ID
8224031497
Professional Enrollment ID
I20051110000867
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN J. CONNOLLY (M.D.)

  • 437, South Main Street, Athens, Bradford County, Pennsylvania, 18810, United States

    BRADFORD, VT 050338877

    Phone: (802) 222-5562

    Type: Location

  • P O BOX 318

    BRADFORD, VT 050330338

    Phone: (802) 222-5562

    Fax: (802) 222-9276

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
83036Hemoglobin a1c level5939$0
81002Urinalysis, manual test3325$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing2221$0
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Insurance plans in this area (ZIP 05033)

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Provider's Procedures

DR. KEVIN J. CONNOLLY (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEVT83036Hemoglobin A1C level9150

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: 8224031497View full group profile
NameSpecialtyState
Nurse PractitionerVT
Nurse PractitionerVT
Nurse PractitionerVT
Clinical Social WorkerVT
Mental Health CounselorVT
Family PracticeVT
Nurse PractitionerVT
Nurse PractitionerVT
Clinical Social WorkerVT
Nurse PractitionerNY

Reviews

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Frequently asked questions

Can I verify DR. KEVIN J. CONNOLLY (M.D.) with an NPI only?
You can start verification with NPI 1124061650 for DR. KEVIN J. CONNOLLY (M.D.), then check state licensing separately.
Is DR. KEVIN J. CONNOLLY (M.D.) still practicing?
DR. KEVIN J. CONNOLLY (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. KEVIN J. CONNOLLY (M.D.) hold?
Scheduling teams often label DR. KEVIN J. CONNOLLY (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN J. CONNOLLY (M.D.)?
DR. KEVIN J. CONNOLLY (M.D.)'s geographic hint is Bradford, Vermont in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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