BRIAN J DONELAN M.D., F.A.C.C.
NPI 1336255652
Internal Medicine - Cardiovascular Disease in Akron, OH

Q: What is Brian Donelan's NPI number?

The NPI number for Brian Donelan is 1336255652. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Brian Donelan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Donelan was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 21, 2006PECOS EnrolledAccepts Medicare Assignment

95 ARCH ST, AKRON, OH 44304(330) 376-7000(330) 376-1066 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brian J Donelan M.d., F.a.c.c. NPPES

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

BRIAN J DONELAN M.D., F.A.C.C. (NPI 1336255652) is an individual cardiovascular disease provider in Akron, Ohio, licensed in Ohio (35064892) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1336255652

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameBRIAN J DONELANCredential: M.D., F.A.C.C.

Location Address95 ARCH STAkron, OH 44304-1437

Mailing AddressPo Box 3542Akron, OH 44309-3542 · (330) 996-0347 · Fax (330) 996-0359

Phone(330) 376-7000

Fax(330) 376-1066

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1990

Enumeration DateAugust 21, 2006

Last NPPES UpdateJuly 17, 2013

✔ NPI 1336255652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 35064892

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

95 ARCH ST, Akron, OH 44304

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Other Identifiers 3

Medicaid0221236OH

Medicare UPING25536OH

Other4119473OH · Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brian J Donelan M.d., F.a.c.c. 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 ID1759294523

PECOS Enrollment IDI20031209000627

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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

407 services324 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.

349 services279 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.

232 services176 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

205 services202 patients

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.

36 services36 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

31 services31 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

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.

26 services26 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.

24 services24 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

21 services21 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

17 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

16 services16 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

16 services16 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

11 services11 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

11 services11 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Summa Health System

Acute Care Hospitals · Akron, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360020

Location525 East Market StreetAkron, OH 44309 · Summit County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44304 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

5%300 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

10%187 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

19%300 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

72%316 patients3/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

22%102 patients1/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SUMMA PHYSICIANS LLC

Internal Medicine (Hospice and Palliative Medicine)

95 ARCH ST
AKRON, OH 44304

Summit County (330) 375-3039

DR. MICHAEL A PELINI MD

Internal Medicine (Clinical Cardiac Electrophysiology)

95 ARCH ST, STE 300
AKRON, OH 44304

Summit County (330) 376-7000

TODD F BREAUX M.D.

Urology

95 ARCH ST, SUITE 165
AKRON, OH 44304

Summit County (330) 375-4848

DAVID M NASH M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

95 ARCH ST, STE 250
AKRON, OH 44304

Summit County (330) 375-7722

STEPHEN W FANNIN MD FACC

Internal Medicine (Cardiovascular Disease)

95 ARCH ST
AKRON, OH 44304

Summit County (330) 376-7000

JOHN D WEGRYN M.D.

Urology

95 ARCH ST, SUITE 165
AKRON, OH 44304

Summit County (330) 375-4848

JOSEPH D REDLE MD FACC

Internal Medicine (Cardiovascular Disease)

95 ARCH ST
AKRON, OH 44304

Summit County (330) 376-7000

MICHELE M HANNAN C.N.P.

Nurse Practitioner

95 ARCH ST
AKRON, OH 44304

Summit County (330) 376-7000

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 Brian Donelan's NPI number?

The NPI number for Brian Donelan is 1336255652. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Brian Donelan located?

Brian Donelan practices at 95 Arch St, Akron, OH 44304. The listed phone number is (330) 376-7000.

What is Brian Donelan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brian Donelan enrolled in Medicare?

Yes. Brian Donelan 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 Brian Donelan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 2 other insurers list Brian Donelan 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 Brian Donelan affiliated with any hospitals?

According to CMS data, Brian Donelan is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Brian Donelan was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.