DR. DONNA DEFILIPPO D.O.
NPI 1073626701
Family Medicine in Mount Gilead, OH
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
Specialties & Licenses 2
Other Identifiers 4
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
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.
Medicare Billing Reassignments
9Medicare enrollment records show Donna Defilippo reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 237 clinicians in this Medicare group
Livonia, MI 48154
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Epmg Of Michigan PC
- 175 clinicians in this Medicare group
Kalamazoo, MI 49048
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 384 clinicians in this Medicare group
Saginaw, MI 48602
- Reassigned Medicare billing, Michigan enrollment
- 720 clinicians in this Medicare group
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- 132 clinicians in this Medicare group
Black River Falls, WI 54615
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1811940331 (Wisconsin)
- 227 clinicians in this Medicare group
Houghton, MI 49931
- Reassigned Medicare billing, Michigan enrollment
- 130 clinicians in this Medicare group
Hutchinson, MN 55350
- Reassigned Medicare billing, Minnesota enrollment
- 253 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 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.
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, WIPhysician 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.
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.
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.
MOUNT GILEAD, OH 43338
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.
Which organizations bill Medicare for Donna Defilippo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Defilippo reassigns Medicare benefits to 9 organizations: Hospitalist Medicine Physicians Of Michigan, PLLC (Adrian, MI), Epmg Of Michigan, P.C. (Livonia, MI), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI), Sound Physicians Of Indiana, LLC (Mishawaka, IN), Covenant Medical Center, Inc (Saginaw, MI) and 4 more organizations, listed in the Medicare section above. 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 Donna Defilippo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Defilippo accept?
Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Donna Defilippo, D.O. · NPI 1073626701
Family Medicine physician in Mount Gilead, Ohio. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1073626701 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5101013874 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 651 W MARION RD, Mount Gilead, OH 43338-1027
- **Phone:** (231) 250-4148 · **Fax:** (231) 734-9949
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Michigan, PLLC (NPI 1013180181, Adrian, MI); Epmg Of Michigan, P.C. (NPI 1386688992, Livonia, MI); Sound Inpatient Physicians-Michigan, PLLC (NPI 1093967861, Kalamazoo, MI); Sound Physicians Of Indiana, LLC (NPI 1356687164, Mishawaka, IN); Covenant Medical Center, Inc (NPI 1063955136, Saginaw, MI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 1998
## Record status
- **NPPES last updated:** November 1, 2017
- **Other identifiers:** Other F710190; Medicare PIN F76001146; Medicaid 4953852 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1073626701) · Data from the CMS NPPES public registry.