THOMAS M DONAHUE MD NPI 1003016585
Anesthesiology in Indianapolis, IN

About THOMAS M DONAHUE MD

Thomas Donahue is an anesthesiologist established in Indianapolis, Indiana and his medical specialization is Anesthesiology with more than 16 years of experience. He graduated from Ohio State University College Of Medicine in 2007. The NPI number of this provider is 1003016585 and was 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 December 2022.

NPI
1003016585
Provider Name THOMAS M DONAHUE MD
Location Address1701 N SENATE BLVD INDIANAPOLIS, IN 46202
Location Phone(317) 577-4200
Mailing Address250 N SHADELAND AVE INDIANAPOLIS, IN 46219
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date07-23-2007
Last Update Date12-14-2022

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 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.

Thomas Donahue is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.7, 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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.01089121A
License StateIN
Taxonomy DescriptionAn 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.

Business Address

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

Get Directions


Mailing Address

250 N SHADELAND AVE
INDIANAPOLIS, IN
ZIP 46219


Secondary Locations

1653 W Congress Pkwy
Chicago, IL 60612
(312) 942-8858


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2668694670
PECOS Enrollment IDI20170621002024
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 92.6
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 (PI) 25% 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 15% 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 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 20% 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.
MIPS Final Score - 93.7
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.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 150Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 118Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 57Anesthesia for lens surgery (HCPCS:00142)
  • 24Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology036.128362ILNo

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.

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
1902844053DR. RAMON G HALUM MD
Individual
Radiology (Vascular & Interventional 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
1346282472DR. MARTIN GOLDSTEIN 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
1235167701CLARIAN HEALTH PARTNERS, INC.
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
(317) 962-9303
1699705251 ASLAM R SIDDIQUI MD
Individual
Radiology (Diagnostic Radiology)1701 N SENATE BLVD ROOM 1204A
INDIANAPOLIS, IN 46202
(317) 962-6793

Frequently Asked Questions

What is Thomas Donahue MD NPI number?

The NPI number assigned to this healthcare provider is 1003016585, registered as an "individual" on July 23, 2007

Where is Thomas Donahue MD located?

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

Which is Thomas Donahue MD specialty?

The provider's speciality is Anesthesiology

How many years of experience does Thomas Donahue MD have?

The provider has more than 16 years of experience. He graduated from Ohio State University College Of Medicine in 2007.

Is Thomas Donahue MD registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.

What are Thomas Donahue MD Quality Ratings?

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

What are some of the services provided by Thomas Donahue MD?

The most common procedures or services performed by this practitioner are: Anesthesia for procedure on lower intestine using an endoscope, Anesthesia for procedure on gastrointestinal tract using an endoscope, Anesthesia for lens surgery and Insertion of arterial catheter for blood sampling or infusion, accessed through the skin.

How do I update my NPI information?

The NPI record of Thomas Donahue MD 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 at: [email protected]