DANIEL M DONATO MD
NPI 1285611384
Obstetrics & Gynecology - Gynecologic Oncology in Aventura, FL

Medicare Participation & PECOS Enrollment Status

Daniel Donato 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

• DME-Orthotic Devices (DF010N)

  Skin barrier; solid, 4 x 4 or equivalent; each (HCPCS:A4362)

  1 DME suppliers used 11 Medicare Claims 110 Services Paid

• DME-Orthotic Devices (DF010N)

  Ostomy skin barrier, pectin-based, paste, per ounce (HCPCS:A4406)

  1 DME suppliers used 11 Medicare Claims 22 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 75 times for 53 patients

Exam of external female genitals using an endoscope

This procedure involves utilizing a special tool called an endoscope to view the external areas typically covered by underwear. It helps doctors identify any abnormalities or issues, ensuring your health and well-being.

This service was performed 11 times for 11 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 45 times for 45 patients

Release of scar tissue at ureter

This procedure involves removing scar tissue from a tube in your body that carries liquid waste from your kidneys to your bladder. Scar tissue can block this tube, causing discomfort and health issues. The goal is to restore normal function and alleviate any symptoms.

This service was performed 20 times for 20 patients

Removal of uterus, tubes, and/or ovaries through vagina using an endoscope, 250.0 g or less

This procedure involves the removal of certain internal parts through a small, natural opening. An endoscope, a thin, flexible tool with a light and camera, is used to perform the procedure. The removed tissue weighs 250.0 g or less. This is done to address health issues.

This service was performed 17 times for 17 patients

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 33180 ZIP code area.

* 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.

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