DR. MARGARET DONLON MD
NPI 1003053976
Physical Medicine & Rehabilitation in Red Bank, NJ

Active since January 14, 2009PECOS Enrolled
63.23/100
CMS Quality Rating
80 OAK HILL RD, RED BANK, NJ 07701(732) 741-2313 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Margaret Donlon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARGARET DONLON MD (NPI 1003053976) is an individual physical medicine & rehabilitation provider in Red Bank, New Jersey, licensed in New Jersey (25MA09046000) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003053976
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. MARGARET DONLONCredential: MD
Location Address80 OAK HILL RDRed Bank, NJ 07701-5727
Mailing Address80 Oak Hill RdRed Bank, NJ 07701-5727 · (732) 741-2313
Sole ProprietorNo
Enumeration DateJanuary 14, 2009
Last NPPES UpdateMarch 11, 2013
NPI 1003053976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NJ · 25MA09046000
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
80 OAK HILL RD, Red Bank, NJ 07701

Other Identifiers 1

Other25MA09046000NJ · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Margaret Donlon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
3,357 services407 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,148 services333 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
392 services347 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
35 services34 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

63.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality38.94
Promoting Interoperability85
Improvement Activities40
Cost51.01

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.61 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier67 claims67 services$39.86 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier28 claims28 services$8.26 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$26.60 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier117 claims117 services$12.65 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier59 claims59 services$16.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
80 OAK HILL RD
RED BANK, NJ 07701
Orthopaedic Surgery
80 OAK HILL RD
RED BANK, NJ 07701
Orthopaedic Surgery
80 OAK HILL RD
RED BANK, NJ 07701
Physical Therapist
80 OAK HILL RD
RED BANK, NJ 07701
Physical Therapist
80 OAK HILL RD
RED BANK, NJ 07701
Physical Therapist
80 OAK HILL RD
RED BANK, NJ 07701
Physician Assistant
80 OAK HILL RD
RED BANK, NJ 07701
Orthopaedic Surgery
80 OAK HILL RD
RED BANK, NJ 07701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Margaret Donlon's NPI number?

The NPI number for Margaret Donlon is 1003053976. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Margaret Donlon located?

Margaret Donlon practices at 80 Oak Hill Rd, Red Bank, NJ 07701. The listed phone number is (732) 741-2313.

What is Margaret Donlon's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Margaret Donlon enrolled in Medicare?

Yes. Margaret Donlon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Margaret Donlon was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.