DANIEL COLTON DONLEY PA-C
NPI 1184380404
Physician Assistant in Tomball, TX

Active since November 10, 2021PECOS EnrolledAccepts Medicare Assignment
72.28/100
CMS Quality Rating
13603 MICHEL RD, TOMBALL, TX 77375(281) 351-7261(281) 351-2515 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Colton Donley Pa-c NPPES

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

DANIEL COLTON DONLEY PA-C (NPI 1184380404) is an individual physician assistant in Tomball, Texas, licensed in Texas (PA15072) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184380404
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL COLTON DONLEYCredential: PA-C
Location Address13603 MICHEL RDTomball, TX 77375-6410
Mailing Address10711 Ashlesha LnRichmond, TX 77406-2966 · (972) 800-9067
Fax(281) 351-2515
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 10, 2021
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1184380404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA15072
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13603 MICHEL RD, Tomball, TX 77375

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

Daniel Colton Donley Pa-c 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 ID5991195711
PECOS Enrollment IDI20211209000124
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 18

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,269 services118 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.
226 services185 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
216 services164 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
183 services151 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
105 services103 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
88 services79 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

72.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.73
Promoting Interoperability90
Improvement Activities40
Cost52.22

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.

Anesthesiology (Pain Medicine)
13603 MICHEL RD
TOMBALL, TX 77375
Clinic/Center (Ambulatory Surgical)
13603 MICHEL RD
TOMBALL, TX 77375
Physical Therapist
13603 MICHEL RD
TOMBALL, TX 77375
Physical Therapist
13603 MICHEL RD
TOMBALL, TX 77375
Orthopaedic Surgery
13603 MICHEL RD
TOMBALL, TX 77375
Orthopaedic Surgery
13603 MICHEL RD
TOMBALL, TX 77375
Orthopaedic Surgery (Foot and Ankle Surgery)
13603 MICHEL RD
TOMBALL, TX 77375
Orthopaedic Surgery
13603 MICHEL RD
TOMBALL, TX 77375

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 Daniel Donley's NPI number?

The NPI number for Daniel Donley is 1184380404. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Daniel Donley located?

Daniel Donley practices at 13603 Michel Rd, Tomball, TX 77375. The listed phone number is (281) 351-7261.

What is Daniel Donley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Donley enrolled in Medicare?

Yes. Daniel Donley 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 Daniel Donley accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Daniel Donley 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 Daniel Donley affiliated with any hospitals?

According to CMS data, Daniel Donley is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Donley was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.