DONALD CAMPBELL
NPI 1043475304
Orthopaedic Surgery - Sports Medicine in Franklin, PA

Q: What is Donald Campbell's NPI number?

The NPI number for Donald Campbell is 1043475304. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Q: What is Donald Campbell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Donald Campbell was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2008PECOS EnrolledAccepts Medicare Assignment

79.55/100

CMS Quality Rating

44 CIRCLE ST, FRANKLIN, PA 16323(814) 437-2191 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Donald Campbell NPPES

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

DONALD CAMPBELL (NPI 1043475304) is an individual sports medicine provider in Franklin, Pennsylvania, licensed in Pennsylvania (OS014210) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and is a graduate of Philadelphia College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1043475304

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDONALD CAMPBELL

Location Address44 CIRCLE STFranklin, PA 16323-2509

Mailing Address44 Circle StFranklin, PA 16323-2509

Phone(814) 437-2191

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2003

Enumeration DateJuly 25, 2008

Last NPPES UpdateMarch 25, 2021

✔ NPI 1043475304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in PA · OS014210

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

44 CIRCLE ST, Franklin, PA 16323

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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

Donald Campbell 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 ID3072666049

PECOS Enrollment IDI20090810000154

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.

310 services170 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.

236 services132 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.

88 services88 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 services53 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

66 services52 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

57 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Northwest

Acute Care Hospitals · Seneca, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390091

Location100 Fairfield DriveSeneca, PA 16346 · Venango County

Emergency services Birthing friendly

Clarion Hospital

Acute Care Hospitals · Clarion, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390093

LocationOne Hospital DriveClarion, PA 16214 · Clarion County

Emergency services

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.

79.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.36

Promoting Interoperability

100

Improvement Activities

Cost

67.48

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Other Providers at the Same Location NPPES 12

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

UPMC COMMUNITY MEDICINE INC

Orthopaedic Surgery (Sports Medicine)