DR. KEVIN J DONNELLY MD
NPI 1124020557
Otolaryngology in Spring Hill, FL

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
120 MEDICAL BLVD STE 105, SPRING HILL, FL 34609(727) 441-3588(727) 216-0704 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2021, May 6, 2019 (2 updates tracked since 2019).

About Dr. Kevin J Donnelly Md NPPES

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

DR. KEVIN J DONNELLY MD (NPI 1124020557) is an individual otolaryngology provider in Spring Hill, Florida, licensed in Florida (ME68587) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Brooksville, and is a graduate of University Of South Alabama College Of Medicine (1990).

NPPES Registry Identity

NPI1124020557
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEVIN J DONNELLYCredential: MD
Location Address120 MEDICAL BLVD STE 105Spring Hill, FL 34609-0221
Mailing Address1330 S Fort Harrison AveClearwater, FL 33756-3313 · (727) 791-1368 · Fax (727) 216-0704
Fax(727) 216-0704
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1990
Enumeration DateAugust 15, 2005
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
NPI 1124020557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in FL · ME68587
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSpecialistTaxonomy 174400000X · License ME0068587 (FL)
120 MEDICAL BLVD STE 105, Spring Hill, FL 34609

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. Kevin J Donnelly Md 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 ID4486685468
PECOS Enrollment IDI20100908000785
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 39

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,520 services43 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,729 services54 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
1,714 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
1,194 services746 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
1,102 services45 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
925 services632 patients

Hospital Affiliations CMS Care Compare 4

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

Tampa General Hospital Brooksville

Acute Care Hospitals · Brooksville, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100071
Location17240 Cortez BlvdBrooksville, FL 34601 · Hernando County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100264
Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County
Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34609 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
91%70 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
51%251 patients3/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
0%1,092 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%4,185 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%315 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%80 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%1,978 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
14%91 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
58%844 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims64 services$1.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kevin Donnelly's NPI number?

The NPI number for Kevin Donnelly is 1124020557. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Kevin Donnelly located?

Kevin Donnelly practices at 120 Medical Blvd Ste 105, Spring Hill, FL 34609. The listed phone number is (727) 441-3588.

What is Kevin Donnelly's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kevin Donnelly enrolled in Medicare?

Yes. Kevin Donnelly 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 Kevin Donnelly accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Kevin Donnelly 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 Kevin Donnelly affiliated with any hospitals?

According to CMS data, Kevin Donnelly is affiliated with Tampa General Hospital Brooksville, St Josephs Hospital, Hca Florida Oak Hill Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Donnelly was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.