DR. JANE G CONOLLY (MD) – Gynecology Physician, NPI 1235463027
Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
119 OBSTETRICS/GYNECOLOGY in VT
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Provider Addresses for DR. JANE G CONOLLY (MD)
PO BOX 250
SHELBURNE, VT 054820250
Phone: (877) 698-8496
Type: Mailing
1775, Williston Road, Williston Road Retail Zone (East), South Burlington, Chittenden County, Vermont, 05403, United States
SUITE 110
SOUTH BURLINGTON, VT 054036491
Phone: (877) 698-8496
Type: Location
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.
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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: 2012-11-06
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 |
|---|---|---|---|---|
| I20121106000631 | I | Obstetrics/Gynecology | VT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 120 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 50 | 50 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 32 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 16 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 18 | 18 | $0 |
Insurance plans in this area (ZIP 05482)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | VT | 81002 | Urinalysis, manual test | 35 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | VT | |
| Physician Assistant | VT | |
| Nurse Practitioner | VT | |
| Certified Nurse Midwife (Cnm) | VT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA |
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