JOHN P DONAHUE MD
NPI 1164409918
Ophthalmology in Providence, RI

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
150 E MANNING ST, PROVIDENCE, RI 02906(401) 272-2020(401) 421-5979 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John P Donahue Md NPPES

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

JOHN P DONAHUE MD (NPI 1164409918) is an individual ophthalmology provider in Providence, Rhode Island, licensed in Rhode Island (MD10345) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1994).

NPPES Registry Identity

NPI1164409918
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN P DONAHUECredential: MD
Location Address150 E MANNING STProvidence, RI 02906-5109
Mailing Address150 E Manning StProvidence, RI 02906-5109 · (401) 272-2020 · Fax (401) 421-5979
Fax(401) 421-5979
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1994
Enumeration DateDecember 22, 2005
Last NPPES UpdateMay 3, 2012
NPI 1164409918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in RI · MD10345
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

150 E MANNING ST, Providence, RI 02906

Other Identifiers 18

OtherM17477MA · Bcbs Mass Group #
Other0859RI · Nhp Ri Group #
Other1566940RI · Cigna
Other3805RI · Neighborhood Ri
Medicare UPING95578RI
Medicaid9001520RI
Other152346RI · Harvard
OtherJ22516RI · Mass Blue Shield
Other180042875RI · Railroad Medicare
Other0800704RI · United
Other407086RI · Blue Chip
Medicare PIN189002658RI
Other5841743RI · Aetna
Other205714RI · Tufts
Other603940RI · Tufts Group #
Medicaid7008251RI
Medicare PIN007008251RI
Other26587RI · Ri Blue Shield

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

John P Donahue 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 ID8426034109
PECOS Enrollment IDI20040624001127, I20110921000528
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 3

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
33 services33 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.
20 services19 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
150 E MANNING ST
PROVIDENCE, RI 02906
Ophthalmology
150 E MANNING ST
PROVIDENCE, RI 02906
Durable Medical Equipment & Medical Supplies
150 E MANNING ST
PROVIDENCE, RI 02906
Ophthalmology
150 E MANNING ST
PROVIDENCE, RI 02906
Ophthalmology
150 E MANNING ST
PROVIDENCE, RI 02906
Ophthalmology
150 E MANNING ST
PROVIDENCE, RI 02906
Ophthalmology
150 E MANNING ST
PROVIDENCE, RI 02906
Ophthalmology
150 E MANNING ST
PROVIDENCE, RI 02906

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 John Donahue's NPI number?

The NPI number for John Donahue is 1164409918. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is John Donahue located?

John Donahue practices at 150 E Manning St, Providence, RI 02906. The listed phone number is (401) 272-2020.

What is John Donahue's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Donahue enrolled in Medicare?

Yes. John Donahue 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 John Donahue accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list John Donahue 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.

When was this NPI record last updated?

The NPPES record for John Donahue was last updated on May 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.