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DR. DIANE MARIE MACDONNELL M.D.
NPI 1003897398
Family Medicine in Glens Falls, NY

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
461 GLEN ST, GLENS FALLS, NY 12801(518) 745-5889(518) 745-0010 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Diane Marie Macdonnell M.d. NPPES

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

DR. DIANE MARIE MACDONNELL M.D. (NPI 1003897398) is an individual family medicine provider in Glens Falls, New York, licensed in New York (172673-1) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1985).

NPPES Registry Identity

NPI1003897398
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DIANE MARIE MACDONNELLCredential: M.D.
Location Address461 GLEN STGlens Falls, NY 12801-2906
Mailing Address461 Glen StGlens Falls, NY 12801-2906 · (518) 745-5889 · Fax (518) 745-0010
Phone(518) 745-5889
Fax(518) 745-0010
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1985
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003897398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 172673-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
461 GLEN ST, Glens Falls, NY 12801
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Other Identifiers 2

Medicare UPINF20251NY
Medicare ID-Type Unspecified55487BNY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Diane Marie Macdonnell M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901885557
PECOS Enrollment IDI20040716000487
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
252 services39 patients
Acupuncture, each additional 15 minutes 97811
Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.
38 services16 patients
Acupuncture with electrical stimulation, initial 15 minutes 97813
Acupuncture with electrical stimulation is a therapy where thin needles are inserted into specific points on your body. A mild electrical current is then passed through the needles to stimulate these points, helping to alleviate pain and promote healing. This initial session lasts 15 minutes.
37 services15 patients
Acupuncture with electrical stimulation, each additional 15 minutes 97814
Acupuncture with electrical stimulation involves inserting thin needles into specific points on your body. A mild electrical current is then passed through these needles for a set time, often 15 minutes. This can enhance the effects of traditional acupuncture, helping to relieve pain and promote healing.
37 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

NORTH COUNTRY MEDICINE PLLC
General Practice
461 GLEN ST
GLENS FALLS, NY 12801
Warren County (518) 745-5889
JACQUELINE HELEN MCMURRY PHYSICIAN ASSISTANT
Physician Assistant (Medical)
461 GLEN ST
GLENS FALLS, NY 12801
Warren County (518) 745-5889

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 Diane Macdonnell's NPI number?

The NPI number for Diane Macdonnell is 1003897398. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Diane Macdonnell located?

Diane Macdonnell practices at 461 Glen St, Glens Falls, NY 12801. The listed phone number is (518) 745-5889.

What is Diane Macdonnell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diane Macdonnell enrolled in Medicare?

Yes. Diane Macdonnell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Diane Macdonnell affiliated with any hospitals?

According to CMS data, Diane Macdonnell is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Diane Macdonnell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.