DR. DONNA DEFILIPPO D.O.
NPI 1073626701
Family Medicine in Mount Gilead, OH

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
651 W MARION RD, MOUNT GILEAD, OH 43338(231) 250-4148(231) 734-9949 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2017, Jun 16, 2016 (2 updates tracked since 2016).

About Dr. Donna Defilippo D.o. NPPES

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

DR. DONNA DEFILIPPO D.O. (NPI 1073626701) is an individual family medicine provider in Mount Gilead, Ohio, licensed in Michigan (5101013874) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Black River Memorial Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1073626701
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONNA DEFILIPPOCredential: D.O.
Location Address651 W MARION RDMount Gilead, OH 43338-1027
Mailing AddressP.o. Box 874Evart, MI 49631 · (231) 250-4148 · Fax (231) 734-9949
Fax(231) 734-9949
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1998
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 1, 20172 updates tracked since enumeration
NPI 1073626701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101013874
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 55373-21 (WI)
651 W MARION RD, Mount Gilead, OH 43338

Other Identifiers 4

OtherF710190Bcbs
Medicare PINF76001146
Medicaid4953852MI
Medicare UPINH34805MI

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

Dr. Donna Defilippo D.o. 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 ID6002918232
PECOS Enrollment IDI20240508000647
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services33 patients

Hospital Affiliations CMS Care Compare

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

Black River Memorial Hospital

Critical Access Hospitals · Black River Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521333
Location711 W Adams StBlack River Falls, WI 54615 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43338 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$132.45 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$87.26 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.45 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$24.56 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$8.41 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.

General Acute Care Hospital (Critical Access)
651 W MARION RD
MOUNT GILEAD, OH 43338
Hospitalist
651 W MARION RD
MOUNT GILEAD, OH 43338
Physical Therapist
651 W MARION RD
MOUNT GILEAD, OH 43338
Nurse Practitioner (Family)
651 W MARION RD
MOUNT GILEAD, OH 43338
Clinic/Center (Infusion Therapy)
651 W MARION RD
MOUNT GILEAD, OH 43338
Nurse Practitioner (Family)
651 W MARION RD
MOUNT GILEAD, OH 43338
Physical Therapist
651 W MARION RD
MOUNT GILEAD, OH 43338
General Acute Care Hospital (Critical Access)
651 W MARION RD
MOUNT GILEAD, OH 43338

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 Defilippo's NPI number?

The NPI number for Donna Defilippo is 1073626701. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Donna Defilippo located?

Donna Defilippo practices at 651 W Marion Rd, Mount Gilead, OH 43338. The listed phone number is (231) 250-4148.

What is Donna Defilippo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donna Defilippo enrolled in Medicare?

Yes. Donna Defilippo 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 Defilippo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Medica list Donna Defilippo 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 Defilippo affiliated with any hospitals?

According to CMS data, Donna Defilippo is affiliated with Black River Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donna Defilippo was last updated on November 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.