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DR. DONOVAN PHILBRICK D.O.
NPI 1245614973
Hospitalist in Gainesville, GA

Active since July 13, 2015PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
743 SPRING STREET, OFFICE OF INPATIENT MEDICINE, GAINESVILLE, GA 30501(770) 219-9000(770) 219-6021 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2020, Oct 26, 2018, Jun 26, 2018 (3 updates tracked since 2018).

About Dr. Donovan Philbrick D.o. NPPES

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

DR. DONOVAN PHILBRICK D.O. (NPI 1245614973) is an individual hospitalist provider in Gainesville, Georgia, licensed in Georgia (080148) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245614973
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DONOVAN PHILBRICKCredential: D.O.
Location Address743 SPRING STREET, OFFICE OF INPATIENT MEDICINEGainesville, GA 30501
Mailing Address743 Spring Street, Office Of Inpatient MedicineGainesville, GA 30501-2616 · (770) 219-9000 · Fax (770) 219-6021
Phone(770) 219-9000
Fax(770) 219-6021
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2015
Enumeration DateJuly 13, 2015
Last NPPES UpdateDecember 4, 20203 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1245614973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 080148
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
743 SPRING STREET, OFFICE OF INPATIENT MEDICINE, Gainesville, GA 30501
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Secondary Practice Locations 2

Location 1720 Second St, Suite 101 Graduate Medical EducationBowling Green, KY 42101 · Phone (270) 780-2680
Location 2743 Spring Street, Office of Inpatient MedicineGainesville, GA 30501 · Phone (770) 219-9000 · Fax (770) 219-6021

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. Donovan Philbrick D.o. 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 ID9032492327
PECOS Enrollment IDI20180918002407
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
565 services237 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
162 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers55 claims55 services$18.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers55 claims55 services$98.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Donovan Philbrick's NPI number?

The NPI number for Donovan Philbrick is 1245614973. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Donovan Philbrick located?

Donovan Philbrick practices at 743 Spring Street, Office Of Inpatient Medicine, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Donovan Philbrick's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Donovan Philbrick enrolled in Medicare?

Yes. Donovan Philbrick 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.

Is Donovan Philbrick affiliated with any hospitals?

According to CMS data, Donovan Philbrick is affiliated with Northside Hospital Forsyth, Northeast Georgia Medical Center, Inc and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Donovan Philbrick was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.