DONA MARIE ALVAREZ M.D.
NPI 1013087147
Orthopaedic Surgery in Oakland, MD

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
99.62/100
CMS Quality Rating
311 N 4TH ST, SUITE 3, OAKLAND, MD 21550(301) 334-1034(301) 334-3350 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dona Marie Alvarez M.d. NPPES

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

DONA MARIE ALVAREZ M.D. (NPI 1013087147) is an individual orthopaedic surgery provider in Oakland, Maryland, licensed in Maryland (D0038801) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of West Virginia University School Of Medicine (1984).

NPPES Registry Identity

NPI1013087147
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDONA MARIE ALVAREZCredential: M.D.
Location Address311 N 4TH ST, SUITE 3Oakland, MD 21550-1395
Mailing Address311 N 4th St, Suite 3Oakland, MD 21550-1395 · (301) 334-1034 · Fax (301) 334-3350
Fax(301) 334-3350
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1984
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013087147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MD · D0038801
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

311 N 4TH ST, Oakland, MD 21550

Other Identifiers 10

Medicare UPINE16802MD
OtherKN38GAMD · Carefirst Blue Shield
Other216542MD · Alliance
Other216542MD · Md Ipa
Other216542MD · Mamsi
Other521805318-00MD · Wv Workmens Compensation
Medicare ID-Type UnspecifiedKN38KC88MD
Other216542MD · Optimum Choice
OtherE214001MD · Federal Blue Shield
Other521805318-00MD · Brickstreet

Accepted Insurance

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

Dona Marie Alvarez 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 ID7618145053
PECOS Enrollment IDI20110729000382
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 11

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services84 patients
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.
82 services69 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
72 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
45 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

99.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.59
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers14 claims14 services$47.20 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.

Family Medicine
311 N 4TH ST
OAKLAND, MD 21550
Family Medicine
311 N 4TH ST, SUITE 1
OAKLAND, MD 21550
Family Medicine
311 N 4TH ST
OAKLAND, MD 21550
Counselor (Professional)
311 N 4TH ST, SUITE 1
OAKLAND, MD 21550
Counselor (Professional)
311 N 4TH ST, SUITE 1
OAKLAND, MD 21550
Physician Assistant
311 N 4TH ST, SUITE 1
OAKLAND, MD 21550
Physician Assistant
311 N 4TH ST, SUITE 1
OAKLAND, MD 21550
Nurse Practitioner
311 N 4TH ST
OAKLAND, MD 21550

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 Dona Alvarez's NPI number?

The NPI number for Dona Alvarez is 1013087147. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Dona Alvarez located?

Dona Alvarez practices at 311 N 4th St Suite 3, Oakland, MD 21550. The listed phone number is (301) 334-1034.

What is Dona Alvarez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Dona Alvarez enrolled in Medicare?

Yes. Dona Alvarez 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.

What insurance does Dona Alvarez accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Dona Alvarez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dona Alvarez affiliated with any hospitals?

According to CMS data, Dona Alvarez is affiliated with Garrett Regional Medical Center and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Dona Alvarez was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.