DONNA KATHRYN CULHANE M.D.
NPI 1114923885
Radiology - Diagnostic Radiology in Knoxville, TN

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
99.08/100
CMS Quality Rating
4820 OLD KINGSTON PIKE, KNOXVILLE, TN 37919(865) 558-9862(865) 524-3478 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Oct 21, 2022, Jun 17, 2020 (3 updates tracked since 2020).

About Donna Kathryn Culhane M.d. NPPES

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

DONNA KATHRYN CULHANE M.D. (NPI 1114923885) is an individual diagnostic radiology provider in Knoxville, Tennessee, licensed in Tennessee (30793) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Lafollette Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1991).

NPPES Registry Identity

NPI1114923885
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDONNA KATHRYN CULHANECredential: M.D.
Location Address4820 OLD KINGSTON PIKEKnoxville, TN 37919-6424
Mailing Address4820 Old Kingston PikeKnoxville, TN 37919-6424 · (865) 558-9862 · Fax (865) 584-3478
Fax(865) 524-3478
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1991
Enumeration DateJune 27, 2005
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1114923885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TN · 30793
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4820 OLD KINGSTON PIKE, Knoxville, TN 37919

Other Identifiers 2

Medicaid3827887TN
Medicaid3827884TN

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

Donna Kathryn Culhane 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 ID7618956871
PECOS Enrollment IDI20040720000600
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 22

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
779 services779 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
502 services502 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
238 services216 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
88 services87 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
70 services67 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
58 services56 patients

Hospital Affiliations CMS Care Compare 4

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

Lafollette Medical Center

Acute Care Hospitals · La Follette, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440033
Location923 East Central AvenueLa Follette, TN 37766 · Campbell County
Emergency services

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Tennova Healthcare - Newport Medical Center

Acute Care Hospitals · Newport, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440153
Location435 2nd StNewport, TN 37821 · Cocke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

99.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.92
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
96%363 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%373 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919
Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919
Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919
Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919
Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919
Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919
Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919
Radiology (Diagnostic Radiology)
4820 OLD KINGSTON PIKE
KNOXVILLE, TN 37919

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 Culhane's NPI number?

The NPI number for Donna Culhane is 1114923885. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Donna Culhane located?

Donna Culhane practices at 4820 Old Kingston Pike, Knoxville, TN 37919. The listed phone number is (865) 558-9862.

What is Donna Culhane's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Donna Culhane enrolled in Medicare?

Yes. Donna Culhane 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 Culhane accept?

Health plans from Alliant Health Plans, Inc. list Donna Culhane 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 Culhane affiliated with any hospitals?

According to CMS data, Donna Culhane is affiliated with Lafollette Medical Center, Tennova Healthcare-Jefferson Memorial Hospital, Physicians Regional Medical Center and Tennova Healthcare - Newport Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Culhane was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.