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Deactivated NPI 1316946650 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas J Connelly , MD

Specialist • Stuart, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Connelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2005
NPI Deactivation Date June 05, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Connelly, MD was a registered Specialist practicing in Stuart, FL. Throughout an active medical career spanning 12 years, Dr. Connelly provided care at the practice location at 465 SE RIVERSIDE DR until profile deactivation on 2017-06-05.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, pathology examination of specimen during surgery, first tissue block, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

465 Se Riverside Dr

Stuart, FL 349942584

Telephone 7722868801
Fax 7722868510
Associated Practice Facility / Clinic
🏢 Luminescence Counseling Inc Facility NPI 1265967830

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Stuart, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.6 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
30 Specialists

Practicing in Stuart, FL (3036 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
290 71 $13.00 $5.84
88331 Pathology examination of specimen during surgery, first tissue block
169 111 $120.00 $96.49
99213 Established patient office or other outpatient visit, typically 15 minutes
166 162 $95.00 $73.30
11100 Biopsy of single growth of skin and/or tissue
146 138 $135.00 $98.09
17000 Destruction of skin growth
105 96 $98.00 $49.17
11101 Biopsy of each additional growth of skin and/or tissue
61 46 $135.00 $33.77
17004 Destruction of precancer skin growth, 15 or more growths
57 47 $198.00 $153.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
55 52 $56.00 $43.87
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
36 32 $872.00 $469.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $142.00 $109.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
21 19 $230.00 $148.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
21 21 $633.00 $336.71
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
19 19 $567.00 $379.03
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
17 14 $531.29 $396.33
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
13 12 $429.08 $341.78
99202 New patient office or other outpatient visit, typically 20 minutes
13 13 $97.00 $75.52
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session
12 12 $171.00 $134.67
17110 Destruction of up to 14 skin growths
11 11 $143.00 $106.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
11 11 $328.00 $126.75

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME45023

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Elysha Walker

Counselor - Mental Health

NPI 1144821679
Stephanie Buhler , RMHCI

Counselor - Mental Health

NPI 1407638752
Danielle Leach , LMHC

Counselor - Mental Health

NPI 1528784238

Licensed Mental Health Counselor

Michelle Mccree

Counselor - Mental Health

NPI 1710705736
Catherina Popa , LCSW

Social Worker - Clinical

NPI 1922411917

Licensed Clinical Social Worker

Sarah Maier

Social Worker - Clinical

NPI 1972285823

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 05, 2017

Record deactivated on June 05, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 465 SE RIVERSIDE DR, STUART, FL 349942584 (Tel: 7722868801)

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Updated Business Mailing Address July 09, 2007

Registered at 465 SE RIVERSIDE DR, STUART, FL 349942584 (Tel: 7722868801)

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Provider Name / Credentials Updated July 09, 2007

Recorded as THOMAS CONNELLY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #ME45023 in FL)

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Initial NPI Registration & Enumeration July 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316946650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2005
Last Update: July 09, 2007
Deactivation Date: June 05, 2017

Mailing Address

465 Se Riverside Dr

Stuart, FL 349942584

Phone: 7722868801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.