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DONNA M PINELLI MD
NPI 1023019023
Obstetrics & Gynecology - Gynecologic Oncology in Palm Beach Gardens, FL

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
11382 PROSPERITY FARMS RD, SUITE 228, PALM BEACH GARDENS, FL 33410(561) 253-3980(561) 253-3985 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donna M Pinelli Md NPPES

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

DONNA M PINELLI MD (NPI 1023019023) is an individual gynecologic oncology provider in Palm Beach Gardens, Florida, licensed in Florida (ME58753) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Jupiter Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1023019023
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameDONNA M PINELLICredential: MD
Location Address11382 PROSPERITY FARMS RD, SUITE 228Palm Beach Gardens, FL 33410-3463
Mailing Address4801 S Congress Ave, Suite 201Lake Worth, FL 33461-4746 · (561) 253-3980 · Fax (561) 253-3985
Phone(561) 253-3980
Fax(561) 253-3985
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 2, 2005
Last NPPES UpdateJanuary 6, 2014
✔ NPI 1023019023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in FL · ME58753
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
11382 PROSPERITY FARMS RD, Palm Beach Gardens, FL 33410
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Other Identifiers 4

Medicaid052222800FL
OtherP00238741FL · Railroad Medicare
Medicare UPINE81191FL
Medicare PIN11901SFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Donna M Pinelli Md 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 ID547292484
PECOS Enrollment IDI20050831000544
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 9

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.
167 services133 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.
85 services67 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.
61 services61 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.
46 services35 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
30 services30 patients
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope 38570
This procedure involves using a thin, flexible tool called an endoscope to examine and remove lymph nodes in the abdominal area. The endoscope is inserted through a small incision. It allows doctors to view and biopsy, or take samples of, any suspicious tissues for further testing.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,166 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%71 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%409 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%912 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 81% · 471 patients
Patients tobacco: 77% · 471 patients
5%20 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%409 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%409 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 587 patients
2%587 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 8

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

SUZETTE CHEN O.D.
Optometrist
11382 PROSPERITY FARMS RD, SUITE 130
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-3100
HEALTH MINDED KIDS
Community/Behavioral Health
11382 PROSPERITY FARMS RD, SUITE 126
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 352-6192
KEVIN TENN YUK D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
11382 PROSPERITY FARMS RD, BLDG G, SUITE 130
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-3100
VALERIE BROOKE BENVENUTO ARNP
Nurse Practitioner (Adult Health)
11382 PROSPERITY FARMS RD, ST 228
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 253-3980
NORTHSTAR COLLABORATION HEALTH INSTITUTE, INC
Substance Abuse Rehabilitation Facility
11382 PROSPERITY FARMS RD, SUITE 224/225
PALM BEACH GARDENS, FL 33410
Palm Beach County (954) 895-8062
KEVIN A. TENN YUK, D.M.D, P.A.
Dentist (Orthodontics and Dentofacial Orthopedics)
11382 PROSPERITY FARMS RD, SUITE 130, BLDG G
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 622-3100
CRYSTAL NASSER LCSW
Social Worker (Clinical)
11382 PROSPERITY FARMS RD, SUITE 126
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 352-6192
NORTHSTAR COLLABORATIVE HEALTH INSTITUTE, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
11382 PROSPERITY FARMS RD, 224
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 376-7271

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 Donna Pinelli's NPI number?

The NPI number for Donna Pinelli is 1023019023. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Donna Pinelli located?

Donna Pinelli practices at 11382 Prosperity Farms Rd Suite 228, Palm Beach Gardens, FL 33410. The listed phone number is (561) 253-3980.

What is Donna Pinelli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Donna Pinelli enrolled in Medicare?

Yes. Donna Pinelli 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 Donna Pinelli accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Donna Pinelli 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 Donna Pinelli affiliated with any hospitals?

According to CMS data, Donna Pinelli is affiliated with Jupiter Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Pinelli was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.