Tara McConnon, DO
NPI 1235362013ActiveIndividual· Physical Medicine & Rehabilitation· Port Jefferson, NY
Physical Medicine & Rehabilitation (DO) in Port Jefferson, New York, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2005). Medicare paid $20,679 for services to 158 patients in 2024.
Overview
| NPI | 1235362013 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Aug 27, 2009 |
| Last updated in NPPES | Dec 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 253285-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Medicine and Rehabilitation (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 229 across 8 procedure codes |
| Paid by Medicare | $20,679 |
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Physical Medicine And Rehabilitation |
Medical group
- Chs Physician Partners PCRoslyn, NY · 743 clinicians
Hospital affiliation
- Good Samaritan Hospital Medical CenterWest Islip, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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