DR. ANTHONY A. DONATO M.D.
NPI 1306849815
Internal Medicine in West Reading, PA

Q: What is Anthony Donato's NPI number?

The NPI number for Anthony Donato is 1306849815. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Anthony Donato's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Donato was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment

81.19/100

CMS Quality Rating

420 S 5TH AVE, WEST READING, PA 19611(484) 628-0799 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Anthony A. Donato M.d. NPPES

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

DR. ANTHONY A. DONATO M.D. (NPI 1306849815) is an individual internal medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD059025L) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in West Reading.

NPPES Registry Identity

NPI1306849815

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANTHONY A. DONATOCredential: M.D.

Location Address420 S 5TH AVEWest Reading, PA 19611-2143

Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799

Phone(484) 628-0799

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1994

Enumeration DateMay 31, 2005

Last NPPES UpdateMarch 28, 2018

✔ NPI 1306849815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD059025L

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.

420 S 5TH AVE, West Reading, PA 19611

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Secondary Practice Location 1

Location 16th Ave and Spruce StreetWest Reading, PA 19611-1428 · Phone (610) 988-5455

Other Identifiers 1

Medicaid001837036PA

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. Anthony A. Donato 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 ID7416024138

PECOS Enrollment IDI20080923000182

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 5

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.

157 services69 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.

53 services51 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.

52 services50 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.

29 services14 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

81.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.56

Promoting Interoperability

Improvement Activities

Cost

65.23

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.

TOLUWANIMI OGBONMIDE

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

URVASHI SARKAR

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

MADISON HECK

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

NEIL HOFFMAN M.D.

Pathology (Forensic Pathology)

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8615

MS. LANE ROSCOE PA- C

Physician Assistant

420 S 5TH AVE
WEST READING, PA 19611

Berks County (610) 568-3637

ALICE LEE DO

Surgery

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-4879

KYLE ROMPALA

Nurse Practitioner (Family)

420 S 5TH AVE
READING, PA 19611

Berks County (267) 280-7615

MATTHEW CRYER

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-1324

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 Anthony Donato's NPI number?

The NPI number for Anthony Donato is 1306849815. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Anthony Donato located?

Anthony Donato practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-0799.

What is Anthony Donato's specialty?

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

Is Anthony Donato enrolled in Medicare?

Yes. Anthony Donato 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 Anthony Donato affiliated with any hospitals?

According to CMS data, Anthony Donato is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Donato was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.