ANDREW W DONOHUE D.O.
NPI 1346237559
Psychiatry & Neurology - Forensic Psychiatry in Wilmington, DE

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
1415 FOULK RD STE 104, WILMINGTON, DE 19803(302) 478-1450(302) 478-1430 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew W Donohue D.o. NPPES

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

ANDREW W DONOHUE D.O. (NPI 1346237559) is an individual forensic psychiatry provider in Wilmington, Delaware, licensed in Delaware (C2-0007931) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1998).

NPPES Registry Identity

NPI1346237559
Entity TypeIndividualMale
Primary Taxonomy2084F0202X
Provider Legal NameANDREW W DONOHUECredential: D.O.
Location Address1415 FOULK RD STE 104Wilmington, DE 19803-2748
Mailing Address34 Harlech DrWilmington, DE 19807-2508 · (302) 999-7386 · Fax (302) 999-7386
Fax(302) 478-1430
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1998
Enumeration DateOctober 3, 2005
Last NPPES UpdateApril 27, 2018
NPI 1346237559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
Licenses Licensed in DE · C2-0007931 Licensed in MD · H0058703
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License H0058703 (MD), C2-0007931 (DE)
1415 FOULK RD STE 104, Wilmington, DE 19803

Accepted 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

Andrew W Donohue D.o. 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 ID2567434269
PECOS Enrollment IDI20060223000123
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 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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
626 services135 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.
449 services138 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.
367 services119 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
15 services14 patients

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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%2,921 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%40 patients5/55-star benchmark: 100%
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1415 FOULK RD STE 104
WILMINGTON, DE 19803
Psychiatry & Neurology (Forensic Psychiatry)
1415 FOULK RD STE 104, FOULKSTONE PLAZA
WILMINGTON, DE 19803
Nurse Practitioner (Psychiatric/Mental Health)
1415 FOULK RD STE 104
WILMINGTON, DE 19803
Psychiatry & Neurology (Psychiatry)
1415 FOULK RD STE 104
WILMINGTON, DE 19803
Social Worker (Clinical)
1415 FOULK RD STE 104
WILMINGTON, DE 19803

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 Andrew Donohue's NPI number?

The NPI number for Andrew Donohue is 1346237559. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Andrew Donohue located?

Andrew Donohue practices at 1415 Foulk Rd Ste 104, Wilmington, DE 19803. The listed phone number is (302) 478-1450.

What is Andrew Donohue's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Is Andrew Donohue enrolled in Medicare?

Yes. Andrew Donohue 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 Andrew Donohue accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Andrew Donohue 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.

When was this NPI record last updated?

The NPPES record for Andrew Donohue was last updated on April 27, 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.