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DR. SUSAN DONELAN M.D.
NPI 1285659292
Internal Medicine - Infectious Disease in Stony Brook, NY

Active since July 12, 2006PECOS Enrolled
98.52/100
CMS Quality Rating
205 N BELLE MEAD RD, STONY BROOK, NY 11794(631) 444-1660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan Donelan M.d. NPPES

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

DR. SUSAN DONELAN M.D. (NPI 1285659292) is an individual infectious disease provider in Stony Brook, New York, licensed in New York (177763) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285659292
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SUSAN DONELANCredential: M.D.
Location Address205 N BELLE MEAD RDStony Brook, NY 11794
Mailing AddressP.o. Box 1559Stony Brook, NY 11790 · (631) 444-1660
Phone(631) 444-1660
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285659292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 177763
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
205 N BELLE MEAD RD, Stony Brook, NY 11794
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Other Identifiers 5

Other37K50NY · Empire Bc.bs
Other5856056NY · Aetna
Medicare ID-Type Unspecified37K501NY
Medicare UPINF25737NY
Medicaid01344178NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Donelan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services43 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.
25 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
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 Susan Donelan's NPI number?

The NPI number for Susan Donelan is 1285659292. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Susan Donelan located?

Susan Donelan practices at 205 N Belle Mead Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-1660.

What is Susan Donelan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Susan Donelan enrolled in Medicare?

Yes. Susan Donelan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Donelan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.