BRIAN DONAHUE MD
NPI 1174574966
Orthopaedic Surgery - Sports Medicine in Hayward, WI
About Brian Donahue Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN DONAHUE MD (NPI 1174574966) is an individual sports medicine provider in Hayward, Wisconsin, licensed in Wisconsin (72492) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spooner Health System, and is a graduate of University Of Michigan Medical School (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Brian 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.
Medicare Billing Reassignments
2Medicare enrollment records show Brian Donahue reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hayward, WI 54843
- Reassigned Medicare billing, Wisconsin enrollment
- 104 clinicians in this Medicare group
Bannockburn, IL 60015
- Reassigned Medicare billing, Illinois enrollment
- 538 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spooner Health System
Critical Access Hospitals · Spooner, WITamarack Health Hayward Medical Center
Critical Access Hospitals · Hayward, WIMedicare 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.
Reported Quality Measures
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.
HAYWARD, WI 54843
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 Brian Donahue's NPI number?
The NPI number for Brian Donahue is 1174574966. It was assigned to this individual provider in the NPPES registry on May 15, 2006.
Where is Brian Donahue located?
Brian Donahue practices at 11040 N State Road 77, Hayward, WI 54843. The listed phone number is (715) 934-4850.
What is Brian Donahue's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is Brian Donahue enrolled in Medicare?
Yes. Brian 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.
Which organizations bill Medicare for Brian Donahue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Donahue reassigns Medicare benefits to 2 organizations: Medical Services, Inc (Hayward, WI) and Illinois Bone And Joint Institute LLC (Bannockburn, IL). Each 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 Brian Donahue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Donahue accept?
Health plans from Security Health Plan list Brian 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.
Is Brian Donahue affiliated with any hospitals?
According to CMS data, Brian Donahue is affiliated with Spooner Health System and Tamarack Health Hayward Medical Center.
When was this NPI record last updated?
The NPPES record for Brian Donahue was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Brian Donahue, MD · NPI 1174574966
Sports Medicine physician in Hayward, Wisconsin. Individual provider, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1174574966 (Entity type: Individual)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **State license:** 72492 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 11040 N STATE ROAD 77, Hayward, WI 54843-3606
- **Phone:** (715) 934-4850
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Services, Inc (NPI 1912992827, Hayward, WI); Illinois Bone And Joint Institute LLC (NPI 1205922432, Bannockburn, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1988
## Record status
- **NPPES last updated:** June 11, 2020
- **Other identifiers:** Medicaid 036-098178 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1174574966) · Data from the CMS NPPES public registry.