KELLY R DONOVAN DO
NPI 1215373451
Family Medicine in Traverse City, MI
NPI Status: Active since May 15, 2013
Contact Information
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 935-8686
Fax: (231) 935-8099
- Individual
- Female
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About KELLY DONOVAN
This page provides the complete NPI Profile along with additional information for Kelly Donovan, a primary care provider established in Traverse City, Michigan with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1215373451 assigned on May 2013. The practitioner's primary taxonomy code is 207Q00000X with license number 5101020231 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1215373451
- Provider Name
- KELLY R DONOVAN DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 550 MUNSON AVE TRAVERSE CITY, MI 49686
- Location Phone
- (231) 935-8686
- Location Fax
- (231) 935-8099
- Mailing Address
- 1400 MEDICAL CAMPUS DR TRAVERSE CITY, MI 49684
- Mailing Phone
- (231) 935-8000
- Mailing Fax
- (231) 935-8099
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-15-2013
- Last Update Date
- 05-02-2024
- Code Navigator
A primary care provider (PCP) like Kelly Donovan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 1200 W North Down River Rd Ste C
Grayling, MI 49738
(989) 344-5910 - 1100 E Michigan Ave
Grayling, MI 49738
(989) 348-5461 - 234 Lake St
Roscommon, MI 48653
(989) 275-1200 - 2585 W Houghton Lake Dr
Prudenville, MI 48651
(989) 366-2900 - 1250 E Michigan Ave
Grayling, MI 49738
(989) 348-0550 - 3860 S Straits Hwy
Indian River, MI 49749
(231) 238-0581 - 3040 Bourn St
Lewiston, MI 49756
(989) 786-4877 - 1996 Walden Dr
Gaylord, MI 49735
(989) 731-4111 - 1293 E Parkdale Ave
Manistee, MI 49660
(231) 398-1840 - 14719 W Upright St
Charlevoix, MI 49720
(231) 547-3840 - 14734 Park Ave
Charlevoix, MI 49720
(231) 547-6554 - 9975 W Ottawa Ave
Empire, MI 49630 - 1391 E Parkdale Ave
Manistee, MI 49660
(231) 398-1760 - 7985 S Mackinaw Trl
Cadillac, MI 49601
(231) 876-6200 - 100 N Roland St
Mc Bain, MI 49657
(231) 876-4600 - 1321 S Mount Tom Rd
Mio, MI 48647
(989) 344-5820 - 829 N Center Ave Ste 210
Gaylord, MI 49735
(989) 731-7860 - 223 N Park St
Boyne City, MI 49712
(231) 582-5314 - 14705 W Upright St
Charlevoix, MI 49720
(231) 547-8544
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101020231
- License State
- MI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kelly Donovan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49686 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for KELLY R DONOVAN DO
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 3 | 7 | 3 | 4 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 6 | 7 | 6 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 6 + 7 + 6 + 4 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1215373451 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KATHRYN NEUMANN SPINNIKEN RPH, CGP, MBA
Pharmacist
(Geriatric)
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
FAITH ANN ROBERTS ATC
Specialist/Technologist
(Athletic Trainer)
550 MUNSON AVE
MCHC OUTPATIENT REHAB
TRAVERSE CITY, MI
ZIP 49686
MR. NED PATRICK MILNE RPH
Pharmacist
550 MUNSON AVE
SUITE G-100
TRAVERSE CITY, MI
ZIP 49686
MRS. KATHLEEN M BROWN RPH
Pharmacist
550 MUNSON AVE
SUITE G100
TRAVERSE CITY, MI
ZIP 49686
MR. JAMES CHRISTIAN MICHUTKA RPH
Pharmacist
550 MUNSON AVE
SUITE G100
TRAVERSE CITY, MI
ZIP 49686
SLEEP DIAGNOSTICS OF NORTHERN MICHIGAN P C
Internal Medicine
(Pulmonary Disease)
550 MUNSON AVE
SUITE 202
TRAVERSE CITY, MI
ZIP 49686
CHESTER PFLUGRAD MD
Family Medicine
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
RICHARD L HARTWELL DO
Emergency Medicine
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
STEPHEN L MORGAN DO
General Practice
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
CHARLES W WEBB MD
Emergency Medicine
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
SUSAN MEIS PA-C
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
JOHN ADAMS PA-C
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
DARRYL F LESOSKI MD, MPH
Preventive Medicine
(Occupational Medicine)
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
DAVID MCCLARY MD
Preventive Medicine
(Occupational Medicine)
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
MR. BARRY L BROWN RPH
Pharmacist
550 MUNSON AVE
SUITE G-100
TRAVERSE CITY, MI
ZIP 49686
DANIEL L LEMON PA-C
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
RONALD L SANDERS PA-C
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
JENNIFER REBECCA DYKSTRA PHARM.D.
Pharmacist
550 MUNSON AVE
SUITE G100
TRAVERSE CITY, MI
ZIP 49686
VINCENT CORNELLIER PHD
Psychologist
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
MR. JOHN WISMER MCDOUGALL A.T.,C
Specialist/Technologist
(Athletic Trainer)
550 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215373451, enumerated in the NPI registry as an "individual" on May 15, 2013
The provider is located at 550 Munson Ave Traverse City, Mi 49686 and the phone number is (231) 935-8686
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 02, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 15, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
