DONALD L WAYNE MD
NPI 1154320828
Internal Medicine - Cardiovascular Disease in Cincinnati, OH

Q: What is Donald Wayne's NPI number?

The NPI number for Donald Wayne is 1154320828. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Q: What is Donald Wayne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Wayne was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment

78.78/100

CMS Quality Rating

4760 E GALBRAITH RD, SUITE 205, CINCINNATI, OH 45236(513) 985-0741(513) 985-0748 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Donald L Wayne Md NPPES

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

DONALD L WAYNE MD (NPI 1154320828) is an individual cardiovascular disease provider in Cincinnati, Ohio, licensed in Ohio (35.051493) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1154320828

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDONALD L WAYNECredential: MD

Location Address4760 E GALBRAITH RD, SUITE 205Cincinnati, OH 45236-6703

Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 245-3600 · Fax (513) 245-3672

Phone(513) 985-0741

Fax(513) 985-0748

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1983

Enumeration DateJuly 15, 2005

Last NPPES UpdateDecember 5, 2017

✔ NPI 1154320828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 35.051493

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4760 E GALBRAITH RD, Cincinnati, OH 45236

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Secondary Practice Location 1

Location 14760 E Galbraith Rd, Suite 205Cincinnati, OH 45236-6703 · Phone (513) 985-0741 · Fax (513) 985-0748

Other Identifiers 3

Medicaid64016454KY

Medicaid100024550IN

Medicaid0706258OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Donald L Wayne 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 ID8527957307

PECOS Enrollment IDI20080625000123

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 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

2,035 services1,298 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

233 services166 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.

230 services179 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

229 services216 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

107 services104 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

49 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

49 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.

43 services43 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services19 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

21 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.

15 services15 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360003

Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360016

Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County

Emergency services

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360354

Location7700 University DriveWest Chester, OH 45069 · Butler County

Emergency services Birthing friendly

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number361326

Location230 Medical Center DriveSeaman, OH 45679 · Adams County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

78.78/100

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

Scored as part of a group practice

Quality

70.42

Promoting Interoperability

100

Improvement Activities

Cost

58.86

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.

OKI KIDNEY CARE, LLC

Internal Medicine

4760 E GALBRAITH RD, STE 217
CINCINNATI, OH 45236

Hamilton County (513) 842-2000

ERICH W WALDER MD

Internal Medicine (Pulmonary Disease)

4760 E GALBRAITH RD, SUITE 206
CINCINNATI, OH 45236

Hamilton County (513) 791-4490

PATRICK G. KIRK, MD, INC

Orthopaedic Surgery

4760 E GALBRAITH RD, SUITE 109
CINCINNATI, OH 45236

Hamilton County (513) 791-5200

MEDICAL ASSOCIATES OF CINCINNATI INC

Specialist

4760 E GALBRAITH RD, #203
CINCINNATI, OH 45236

Hamilton County (513) 985-9800

FRANCES ELIZABETH WOOD C.N.P.

Nurse Practitioner (Adult Health)

4760 E GALBRAITH RD, STE 205
CINCINNATI, OH 45236

Hamilton County (513) 985-0741

DR. DAVID J DORTIN JR. D.O.

Internal Medicine (Pulmonary Disease)

4760 E GALBRAITH RD, #203
CINCINNATI, OH 45236

Hamilton County (513) 985-9800

SANDRA HALL KESNER CNP

Nurse Practitioner (Family)

4760 E GALBRAITH RD, STE 208
CINCINNATI, OH 45236

Hamilton County (513) 686-2663

NEPHROLOGY ASSOCIATES OF SOUTHWESTERN OHIO, INC

Internal Medicine (Nephrology)

4760 E GALBRAITH RD, #206
CINCINNATI, OH 45236

Hamilton County (513) 863-8212

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 Donald Wayne's NPI number?

The NPI number for Donald Wayne is 1154320828. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Donald Wayne located?

Donald Wayne practices at 4760 E Galbraith Rd Suite 205, Cincinnati, OH 45236. The listed phone number is (513) 985-0741.

What is Donald Wayne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Donald Wayne enrolled in Medicare?

Yes. Donald Wayne 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 Donald Wayne accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Donald Wayne 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 Donald Wayne affiliated with any hospitals?

According to CMS data, Donald Wayne is affiliated with University Of Cincinnati Medical Center, LLC, The Jewish Hospital-Mercy Health, Bethesda North, West Chester Hospital and Adams County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Wayne was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.