DR. DOROTHY O'DONNELL M.D.
NPI 1215202619
Internal Medicine - Critical Care Medicine in Glen Head, NY

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
9 DOGWOOD HL, GLEN HEAD, NY 11545(516) 626-2429 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Dorothy O'donnell M.d. NPPES

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

DR. DOROTHY O'DONNELL M.D. (NPI 1215202619) is an individual critical care medicine provider in Glen Head, New York, licensed in New York (191702) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1990).

NPPES Registry Identity

NPI1215202619
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. DOROTHY O'DONNELLCredential: M.D.
Location Address9 DOGWOOD HLGlen Head, NY 11545-3204
Mailing Address9 Dogwood HlGlen Head, NY 11545-3204
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1990
Enumeration DateMarch 19, 2012
NPI 1215202619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 191702
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 191702 (NY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 191702 (NY)
9 DOGWOOD HL, Glen Head, NY 11545

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

Dr. Dorothy O'donnell M.d. 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 ID1658630678
PECOS Enrollment IDI20180122000899
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services17 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11545 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Dorothy O'donnell's NPI number?

The NPI number for Dorothy O'donnell is 1215202619. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Dorothy O'donnell located?

Dorothy O'donnell practices at 9 Dogwood Hl, Glen Head, NY 11545. The listed phone number is (516) 626-2429.

What is Dorothy O'donnell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Dorothy O'donnell enrolled in Medicare?

Yes. Dorothy O'donnell 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.

When was this NPI record last updated?

The NPPES record for Dorothy O'donnell was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.