DONNA MARIE KENTLEY PA
NPI 1356495907
Physician Assistant in Southbridge, MA

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 SAYLES ST, SOUTHBRIDGE, MA 01550(508) 764-2400(508) 909-7770 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2024, Dec 13, 2016, Mar 29, 2016 (3 updates tracked since 2016).

About Donna Marie Kentley Pa NPPES

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

DONNA MARIE KENTLEY PA (NPI 1356495907) is an individual physician assistant in Southbridge, Massachusetts, licensed in Massachusetts (PA5624) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1356495907
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDONNA MARIE KENTLEYCredential: PA
Location Address55 SAYLES STSouthbridge, MA 01550-1729
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 764-2432
Fax(508) 909-7770
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 22, 2007
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
NPI 1356495907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA5624
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
55 SAYLES ST, Southbridge, MA 01550

Other Identifiers 1

Medicaid110118960AMA

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

Donna Marie Kentley Pa 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 ID6507812856
PECOS Enrollment IDI20161019001785
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 2

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 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.
307 services196 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services79 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Hematology & Oncology)
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Genetic Counselor, MS
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Nurse Practitioner (Acute Care)
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Nurse Practitioner
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Radiology (Radiation Oncology)
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Clinic/Center
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Internal Medicine (Hematology & Oncology)
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Internal Medicine (Hematology & Oncology)
55 SAYLES ST
SOUTHBRIDGE, MA 01550

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 Donna Kentley's NPI number?

The NPI number for Donna Kentley is 1356495907. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Donna Kentley located?

Donna Kentley practices at 55 Sayles St, Southbridge, MA 01550. The listed phone number is (508) 764-2400.

What is Donna Kentley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Donna Kentley enrolled in Medicare?

Yes. Donna Kentley 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 Donna Kentley affiliated with any hospitals?

According to CMS data, Donna Kentley is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Donna Kentley was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.