JON PATRICK DONNELLY M.D
NPI 1023102456
Pediatrics - Pediatric Cardiology in Scarborough, ME
About Jon Patrick Donnelly M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JON PATRICK DONNELLY M.D (NPI 1023102456) is an individual pediatric cardiology provider in Scarborough, Maine, licensed in Maine (MD14324) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Lewiston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jon Patrick Donnelly 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jon Donnelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scarborough, ME 04074
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Scarborough, ME 04074
- Reassigned Medicare billing, Maine enrollment
- 229 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
Farmington, ME 04938
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Franklin Memorial Hospital
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEMedicare 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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
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 Jon Donnelly's NPI number?
The NPI number for Jon Donnelly is 1023102456. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Jon Donnelly located?
Jon Donnelly practices at 71 Us Route 1 Suite C, Scarborough, ME 04074. The listed phone number is (207) 883-5532.
What is Jon Donnelly's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Jon Donnelly enrolled in Medicare?
Yes. Jon Donnelly 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.
Which organizations bill Medicare for Jon Donnelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jon Donnelly reassigns Medicare benefits to 4 organizations: Mainehealth (Scarborough, ME), Maine Medical Partners (Scarborough, ME), St. Mary's Regional Medical Center (Lewiston, ME) and Mainehealth (Farmington, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jon Donnelly accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Jon Donnelly 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 Jon Donnelly affiliated with any hospitals?
According to CMS data, Jon Donnelly is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Jon Donnelly was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jon Patrick Donnelly, M.D · NPI 1023102456
Pediatric Cardiology physician in Scarborough, Maine. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1023102456 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD14324 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 71 US ROUTE 1, SUITE C, Scarborough, ME 04074-7173
- **Phone:** (207) 883-5532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1497068969, Scarborough, ME); Maine Medical Partners (NPI 1386937175, Scarborough, ME); St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME); Mainehealth (NPI 1558305847, Farmington, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** January 3, 2020
- **Other identifiers:** Medicaid 315420099 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1023102456) · Data from the CMS NPPES public registry.