TIMOTHY FRANCIS DONAHUE M.D.
NPI 1083676324
Urology in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Urology with taxonomy code 208800000X.

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment

90.76/100

CMS Quality Rating

1275 YORK AVE, DEPARTMENT OF UROLOGY, NEW YORK, NY 10065(646) 888-3725 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Timothy Francis Donahue M.d. NPPES

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

TIMOTHY FRANCIS DONAHUE M.D. (NPI 1083676324) is an individual urology provider in New York, New York, licensed in Maryland (D0052135) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1995).

NPPES Registry Identity

NPI1083676324

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameTIMOTHY FRANCIS DONAHUECredential: M.D.

Location Address1275 YORK AVE, DEPARTMENT OF UROLOGYNew York, NY 10065-6007

Mailing Address475 Main St, Apartment 15-bNew York, NY 10044-0085 · (443) 527-5056

Phone(646) 888-3725

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1995

Enumeration DateApril 3, 2006

Last NPPES UpdateJune 14, 2016

✔ NPI 1083676324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MD · D0052135

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1275 YORK AVE, New York, NY 10065

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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

Timothy Francis Donahue 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 ID3173757150

PECOS Enrollment IDI20131004000515

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 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

430 services225 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

279 services195 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Established patient office or other outpatient visit, 30-39 minutes 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services58 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

40 services37 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

40 services34 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

37 services34 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

37 services34 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

34 services27 patients

New patient office or other outpatient visit, 60-74 minutes 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

31 services31 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

27 services25 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

27 services22 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

26 services21 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services24 patients

New patient office or other outpatient visit, 30-44 minutes 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.

19 services19 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

12 services12 patients

Prostate resection NAN14

Prostate resection is a procedure performed to alleviate discomfort caused by an enlarged prostate. This involves removing a portion of the prostate gland to ease pressure on the urinary tract, improving urine flow and reducing symptoms. It's performed under general or spinal anesthesia.

0 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.76/100

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

Scored as part of a group practice

Quality

87.87

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 16

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

8 suppliers161 claims419 services$8.54 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

4 suppliers22 claims64 services$5.83 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

8 suppliers127 claims3,310 services$3.19 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

6 suppliers45 claims60 services$6.65 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

8 suppliers55 claims84 services$3.40 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

8 suppliers127 claims3,524 services$4.76 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

4 suppliers42 claims1,190 services$8.47 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

8 suppliers105 claims2,400 services$8.45 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

4 suppliers15 claims460 services$5.96 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430

DME-Orthotic Devices · category DF010N

5 suppliers32 claims585 services$8.17 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

8 suppliers114 claims2,670 services$3.39 avg. paid by Medicare

Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4455

DME-Medical/Surgical Supplies · category DA000N

9 suppliers156 claims421 services$1.15 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

7 suppliers81 claims4,704 services$0.22 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

8 suppliers101 claims4,010 services$0.23 avg. paid by Medicare

Skin barrier; solid, 6 x 6 or equivalent, each A5121

DME-Orthotic Devices · category DF010N

4 suppliers17 claims460 services$5.90 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

5 suppliers20 claims1,400 services$0.04 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.

DR. VINCENT P LAUDONE MD

Urology

1275 YORK AVE
NEW YORK, NY 10065

New York County (646) 422-4306

DR. ALESSIA CAROLINA PEDOTO MD

Anesthesiology

1275 YORK AVE, RM M301
NEW YORK, NY 10065

New York County (212) 693-6840

ANURADHA D KHILNANI MD

Radiology (Diagnostic Radiology)

1275 YORK AVE
NEW YORK, NY 10065

New York County (646) 888-4508

MEMORIAL PATHOLOGY GROUP

Pathology (Anatomic Pathology & Clinical Pathology)

1275 YORK AVE
NEW YORK, NY 10065

New York County (646) 227-3813

MARISA A KOLLMEIER MD

Radiology (Radiation Oncology)

1275 YORK AVE
NEW YORK, NY 10065

New York County (212) 639-3952

KENT A SEPKOWITZ MD

Internal Medicine (Infectious Disease)

1275 YORK AVE
NEW YORK, NY 10065

New York County (212) 639-2000

MEMORIAL MEDICAL CONSULTATION GROUP

Internal Medicine

1275 YORK AVE
NEW YORK, NY 10065

New York County (646) 227-3813

MEMORIAL PULMONARY FUNCTION GROUP

Internal Medicine (Pulmonary Disease)

1275 YORK AVE
NEW YORK, NY 10065

New York County (646) 227-3813

TIMOTHY FRANCIS DONAHUE M.D.
NPI 1083676324
Urology in New York, NY

About Timothy Francis Donahue M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 17

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 16

Other Providers at the Same Location NPPES 20

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