CATHERINE DONLON MD
NPI 1124777560
Family Medicine in Malden, MA

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
195 CANAL ST, MALDEN, MA 02148(781) 338-0500 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Catherine Donlon Md NPPES

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

CATHERINE DONLON MD (NPI 1124777560) is an individual family medicine provider in Malden, Massachusetts, licensed in Massachusetts (1023475) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of New York Medical College (2022).

NPPES Registry Identity

NPI1124777560
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE DONLONCredential: MD
Location Address195 CANAL STMalden, MA 02148-6701
Mailing Address195 Canal StMalden, MA 02148-6701 · (781) 338-0500
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1124777560 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 MA · 1023475
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.
195 CANAL ST, Malden, MA 02148

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

Catherine Donlon 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 ID1052792009
PECOS Enrollment IDI20250609002046
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.

Medicare Billing Reassignment

Medicare enrollment records show Catherine Donlon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
1493 CAMBRIDGE ST, PROVIDER ENROLLMENT
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 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.

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Pharmacist
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Family Medicine
195 CANAL ST
MALDEN, MA 02148
Registered Nurse
195 CANAL ST, SUITE 100
MALDEN, MA 02148
Health Educator
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148

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 Catherine Donlon's NPI number?

The NPI number for Catherine Donlon is 1124777560. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Catherine Donlon located?

Catherine Donlon practices at 195 Canal St, Malden, MA 02148. The listed phone number is (781) 338-0500.

What is Catherine Donlon's specialty?

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

Is Catherine Donlon enrolled in Medicare?

Yes. Catherine Donlon 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 organization bills Medicare for Catherine Donlon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Donlon reassigns Medicare benefits to Cambridge Public Health Commission (Cambridge, MA). The 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 Catherine Donlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Donlon accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Catherine Donlon 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 Catherine Donlon affiliated with any hospitals?

According to CMS data, Catherine Donlon is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Catherine Donlon was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.