JON PATRICK DONNELLY M.D
NPI 1023102456
Pediatrics - Pediatric Cardiology in Scarborough, ME

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
71 US ROUTE 1, SUITE C, SCARBOROUGH, ME 04074(207) 883-5532 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1023102456
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJON PATRICK DONNELLYCredential: M.D
Location Address71 US ROUTE 1, SUITE CScarborough, ME 04074-7173
Mailing Address5 Pearl StreetCape Elizabeth, ME 04107 · (207) 799-6096
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1990
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 3, 2020
NPI 1023102456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in ME · MD14324
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
71 US ROUTE 1, Scarborough, ME 04074

Secondary Practice Location 1

Location 193 Campus AveLewiston, ME 04240-6030 · Phone (207) 755-3240 · Fax (207) 755-3246

Other Identifiers 1

Medicaid315420099ME

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

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.

PECOS PAC ID7911949516
PECOS Enrollment IDI20050524000880
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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

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, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
71 US ROUTE 1
SCARBOROUGH, ME 04074
Community/Behavioral Health
71 US ROUTE 1, SUITE H
SCARBOROUGH, ME 04074
Social Worker (Clinical)
71 US ROUTE 1, SUITE H
SCARBOROUGH, ME 04074
Counselor (Addiction (Substance Use Disorder))
71 US ROUTE 1, SUITE E
SCARBOROUGH, ME 04074
Social Worker (Clinical)
71 US ROUTE 1, SUITE H
SCARBOROUGH, ME 04074
Pediatrics (Pediatric Cardiology)
71 US ROUTE 1, SUITE C
SCARBOROUGH, ME 04074
Pediatrics (Pediatric Cardiology)
71 US ROUTE 1, SUITE C
SCARBOROUGH, ME 04074
Obstetrics & Gynecology
71 US ROUTE 1
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.

What insurance does Jon Donnelly accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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.