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JUSTIN DANIEL DONOGHUE
NPI 1295346104
Nurse Practitioner - Family in Muskegon, MI

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment
71 HUGHEY ST, MUSKEGON, MI 49445(989) 280-3799 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Daniel Donoghue NPPES

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

JUSTIN DANIEL DONOGHUE (NPI 1295346104) is an individual family provider in Muskegon, Michigan, licensed in Michigan (4704313630) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295346104
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN DANIEL DONOGHUE
Location Address71 HUGHEY STMuskegon, MI 49445-2115
Mailing Address71 Hughey StMuskegon, MI 49445-2115 · (989) 280-3799
Phone(989) 280-3799
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1295346104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704313630
71 HUGHEY ST, Muskegon, MI 49445
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Other Identifiers 1

Medicaid4704313630MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.Insurance ›

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

Justin Daniel Donoghue 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 ID5496165649
PECOS Enrollment IDI20201029001981
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
146 services127 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
99 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services69 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services44 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.
23 services23 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Scheurer Hospital

Critical Access Hospitals · Pigeon, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231310
Location170 N Caseville RdPigeon, MI 48755 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49445 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Justin Donoghue's NPI number?

The NPI number for Justin Donoghue is 1295346104. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Justin Donoghue located?

Justin Donoghue practices at 71 Hughey St, Muskegon, MI 49445. The listed phone number is (989) 280-3799.

What is Justin Donoghue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin Donoghue enrolled in Medicare?

Yes. Justin Donoghue 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.

What insurance does Justin Donoghue accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Justin Donoghue 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 Justin Donoghue affiliated with any hospitals?

According to CMS data, Justin Donoghue is affiliated with Covenant Medical Center, Mymichigan Medical Center Midland and Scheurer Hospital.

When was this NPI record last updated?

The NPPES record for Justin Donoghue was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.