BRIAN DONAHUE MD
NPI 1174574966
Orthopaedic Surgery - Sports Medicine in Hayward, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
11040 N STATE ROAD 77, HAYWARD, WI 54843(715) 934-4850 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2020, Feb 10, 2020 (2 updates tracked since 2020).

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

NPI1174574966
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameBRIAN DONAHUECredential: MD
Location Address11040 N STATE ROAD 77Hayward, WI 54843-3606
Mailing Address11040 N State Road 77Hayward, WI 54843-3606 · (715) 934-4850
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1988
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 11, 20202 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
NPI 1174574966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses Licensed in WI · 72492 Licensed in IL · 036-098178
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036-098178 (IL)
11040 N STATE ROAD 77, Hayward, WI 54843

Other Identifiers 1

Medicaid036-098178IL

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

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.

PECOS PAC ID3577575646
PECOS Enrollment IDI20200310000293
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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

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, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521332
Location1280 Chandler DrSpooner, WI 54801 · Washburn County
Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.61
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
72%370 patients4/55-star benchmark: 93%
Controlling High Blood Pressure
67%452 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%154 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,025 patients4/55-star benchmark: 100%
e-Prescribing
99%325 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
86%612 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
46%898 patients2/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
99%1,384 patients4/55-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.

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.

Radiologic Technologist
11040 N STATE ROAD 77
HAYWARD, WI 54843
Clinic/Center
11040 N STATE ROAD 77
HAYWARD, WI 54843
Occupational Therapist
11040 N STATE ROAD 77
HAYWARD, WI 54843
Speech-Language Pathologist
11040 N STATE ROAD 77
HAYWARD, WI 54843
Internal Medicine (Gastroenterology)
11040 N STATE ROAD 77
HAYWARD, WI 54843
Nurse Practitioner
11040 N STATE ROAD 77
HAYWARD, WI 54843
Urology
11040 N STATE ROAD 77
HAYWARD, WI 54843
Nurse Practitioner (Family)
11040 N STATE ROAD 77
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.

What insurance does Brian Donahue accept?

Health plans from Medica and 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 with the weekly NPPES data releases published by CMS.