THOMAS M DONAHUE MD
NPI 1003016585
Anesthesiology in Indianapolis, IN


Quality Rating: 100 out of 100 score

NPI Status: Active since July 23, 2007

Contact Information

1701 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 577-4200
Fax: (317) 577-9503

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  • Individual
  • Male
  • Years of Experience 17
  • Anesthesiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About THOMAS DONAHUE

Thomas Donahue is an anesthesiologist established in Indianapolis, Indiana and his medical specialization is Anesthesiology with more than 17 years of experience. He graduated from Ohio State University College Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1003016585 assigned on July 2007. The practitioner's primary taxonomy code is 207L00000X with license number 01089121A (IN). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1003016585
Provider Name
THOMAS M DONAHUE MD
Gender
Male
Entity Type
Individual
Location Address
1701 N SENATE BLVD INDIANAPOLIS, IN 46202
Location Phone
(317) 577-4200
Location Fax
(317) 577-9503
Mailing Address
250 N SHADELAND AVE INDIANAPOLIS, IN 46219
Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
07-23-2007
Last Update Date
12-14-2022
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An anesthesiologist like Thomas Donahue manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Thomas Donahue is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
01089121A
License State
IN
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

036.128362 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AultCare Insurance Company

    • AultCare Bronze 5500 - PPO
    • AultCare Bronze 7050 - PPO
    • Aultcare Gold 1000 - PPO
    • Aultcare Gold 1200 - PPO
    • AultCare Gold 1800 - PPO
    • AultCare Gold 2750 - PPO
    • AultCare Gold 3150 - PPO
    • AultCare Platinum 1150 - PPO
    • AultCare Platinum 1650 Health Savings 500 - PPO
    • AultCare Platinum 250 - PPO
    • AultCare Platinum 500 - PPO
    • AultCare Silver 2550 - PPO
    • AultCare Silver 3000 - PPO
    • AultCare Silver 4300 - PPO
    • AultCare Silver 5100 - PPO
    • AultCare Silver 6450 - PPO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with first 4 free PCP or MH visits - HMO
    • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Thomas Donahue is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2668694670

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170621002024, I20221216001378

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 21

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thomas Donahue is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
IU HEALTH WEST HOSPITAL1111 N RONALD REAGAN PKWY
AVON, IN 46123
(317) 217-3000Acute Care Hospitals
GENESIS HOSPITAL2951 MAPLE AVENUE
ZANESVILLE, OH 43701
(740) 454-4000Acute Care Hospitals

Reviews for THOMAS M DONAHUE MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003016585
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030112516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 5 + 1 + 6 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003016585 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073570529EMERGENCY MEDICAL GROUP, INC.
Organization
Emergency Medicine1701 N SENATE BLVD METHODIST HOSP ER DEPT
INDIANAPOLIS, IN 46202
(317) 962-4836
1649218850 RICHARD L GILMOR M.D.
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1700825148 ROMMEL S DHADHA MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1942248471DR. DONALD R HAWES MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1477591931 MERVYN D COHEN MD
Individual
Radiology (Pediatric Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-5740
1881633667DR. BONNIE RILEY-GARRISON MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1982646014 C T FLETCHER M.D.
Individual
Emergency Medicine1701 N SENATE BLVD ER DEPT
INDIANAPOLIS, IN 46202
(317) 962-8888
1902848005 SUZANNE B COMBS M.D.
Individual
Emergency Medicine1701 N SENATE BLVD ER DEPT
INDIANAPOLIS, IN 46202
(317) 962-8880
1285677823 MARCIA R TAYLOR MD
Individual
Anesthesiology1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
(317) 567-2179
1871536375DR. DAVID L BROWN MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1215970710DR. RICHARD T BUCK MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1073556106 JUSTIN L WASS MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1457394371DR. FREDERICK M KELVIN MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1750324737DR. DONALD S SCHAUWECKER MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1699718098 GONZALO T CHUA MD
Individual
Radiology (Nuclear Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1366478430 DONALD R HARDMAN M.D.
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD RADIOLOGY DEPT
INDIANAPOLIS, IN 46202
(317) 962-6793
1699705251 ASLAM R SIDDIQUI MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793
1427066281 ANNE PATRICK NP
Individual
Nurse Practitioner1701 N SENATE BLVD RM AG 001
INDIANAPOLIS, IN 46202
(317) 962-3886
1003925975 LEE G. WILBUR MD
Individual
Emergency Medicine1701 N SENATE BLVD RM AG001
INDIANAPOLIS, IN 46202
(317) 962-3886
1083773634 YOUNGSOOK THERESA OLSSON NP
Individual
Nurse Practitioner (Adult Health)1701 N SENATE BLVD RM AG 001
INDIANAPOLIS, IN 46202
(317) 962-3886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003016585, enumerated in the NPI registry as an "individual" on July 23, 2007

The provider is located at 1701 N Senate Blvd Indianapolis, In 46202 and the phone number is (317) 577-4200

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 17 years of experience. He graduated from Ohio State University College Of Medicine in 2007.

The provider might be accepting Accepts: AultCare Insurance Company and Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

The most common procedures or services performed by this practitioner are: Ultrasonic guidance imaging supervision and interpretation for insertion of needle.

The practitioner is affiliated to the following hospital(s): IU HEALTH WEST HOSPITAL and GENESIS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.