DR. DONALD CONKLIN M.D.
NPI 1285613323
Internal Medicine in Ottumwa, IA

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501(641) 984-2341 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2021, Aug 23, 2018 (2 updates tracked since 2018).

About Dr. Donald Conklin M.d. NPPES

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

DR. DONALD CONKLIN M.D. (NPI 1285613323) is an individual internal medicine provider in Ottumwa, Iowa, licensed in Iowa (MD-40980) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Phs Indian Hospital At Rosebud, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1285613323
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DONALD CONKLINCredential: M.D.
Location Address1001 PENNSYLVANIA AVEOttumwa, IA 52501-6427
Mailing Address3410 98th St Ste 4303Lubbock, TX 79423-3847 · (256) 577-8377
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 16, 2006
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
✔ NPI 1285613323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IA · MD-40980✔ Licensed in TX · H4314✔ Licensed in AR · E-10536✔ Licensed in AL · 00027006
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 PENNSYLVANIA AVE, Ottumwa, IA 52501

Secondary Practice Location 1

Location 13502 9th St, Suite 310Lubbock, TX 79415-3300 · Phone (806) 761-0728 · Fax (806) 761-0729

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald Conklin 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 ID9032133657
PECOS Enrollment IDI20110608000834
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.

Medicare Billing Reassignments

19

Medicare enrollment records show Donald Conklin reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1001 PENNSYLVANIA AVE
Ottumwa, IA 52501
  • Reassigned Medicare billing, Iowa enrollment
  • 46 clinicians in this Medicare group
Critical Access
1 SAINT JOSEPH DR
Centerville, IA 52544
  • Reassigned Medicare billing, Iowa enrollment
  • 43 clinicians in this Medicare group
Emergency Medicine
204 N 4TH AVE E
Newton, IA 50208
  • Reassigned Medicare billing, Iowa enrollment
  • 110 clinicians in this Medicare group
Emergency Medicine
1600 MORGAN ST
Keokuk, IA 52632
  • Reassigned Medicare billing, Iowa enrollment
  • 70 clinicians in this Medicare group
Emergency Medicine
515 COLLEGE ST
Cedar Falls, IA 50613
  • Reassigned Medicare billing, Iowa enrollment
  • 37 clinicians in this Medicare group
Family Medicine
104 E TRAER ST
Greene, IA 50636
  • Reassigned Medicare billing, Iowa enrollment
  • 420 clinicians in this Medicare group
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • 675 clinicians in this Medicare group
Emergency Medicine
18341 US HIGHWAY 41
Lanse, MI 49946
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1558479824 (Michigan)
  • 73 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
282 services252 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
245 services218 patients
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.
38 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services34 patients

Hospital Affiliations CMS Care Compare

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

Phs Indian Hospital At Rosebud

Acute Care Hospitals · Rosebud, SD
OwnershipGovernment - Federal
CMS Certification Number430084
Location400 Soldier Creek RoadRosebud, SD 57570 · Todd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

General Acute Care Hospital
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Physical Medicine & Rehabilitation
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Internal Medicine
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Nurse Practitioner (Family)
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Family Medicine
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Emergency Medicine
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Nurse Practitioner
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Radiology (Radiation Oncology)
1001 PENNSYLVANIA AVE
OTTUMWA, IA 52501

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 Donald Conklin's NPI number?

The NPI number for Donald Conklin is 1285613323. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Donald Conklin located?

Donald Conklin practices at 1001 Pennsylvania Ave, Ottumwa, IA 52501. The listed phone number is (641) 984-2341.

What is Donald Conklin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Donald Conklin enrolled in Medicare?

Yes. Donald Conklin 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.

Which organizations bill Medicare for Donald Conklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Conklin reassigns Medicare benefits to 19 organizations: Emergency Services Of Iowa LLC (Ottumwa, IA), Mercy Medical Center-Centerville (Centerville, IA), Des Moines River Physicians, LLC (Newton, IA), Iowa Emergency Physicians LLP (Keokuk, IA), Cedar Falls Emergency Physicians, LLC (Cedar Falls, IA) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Conklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Conklin accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas, Health Advantage and Octave and 2 other insurers list Donald Conklin 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 Donald Conklin affiliated with any hospitals?

According to CMS data, Donald Conklin is affiliated with Phs Indian Hospital At Rosebud.

When was this NPI record last updated?

The NPPES record for Donald Conklin was last updated on January 26, 2021. 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.