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DR. GARRETT PHILIP DONALDSON MD
NPI 1356804249
Family Medicine in Pella, IA

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
81.6/100
CMS Quality Rating
404 JEFFERSON ST, PELLA, IA 50219(641) 621-2200 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, Apr 9, 2019 (2 updates tracked since 2019).

About Dr. Garrett Philip Donaldson Md NPPES

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

DR. GARRETT PHILIP DONALDSON MD (NPI 1356804249) is an individual family medicine provider in Pella, Iowa, licensed in Iowa (MD49922) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Pella Regional Health Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356804249
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARRETT PHILIP DONALDSONCredential: MD
Location Address404 JEFFERSON STPella, IA 50219-1257
Mailing Address404 Jefferson StPella, IA 50219-1257 · (641) 621-2200
Phone(641) 621-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1356804249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · MD49922
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
404 JEFFERSON ST, Pella, IA 50219
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Garrett Philip Donaldson Md 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 ID1759616287
PECOS Enrollment IDI20220714004042
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.

Hospital Affiliations CMS Care Compare

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

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50219 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

81.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.55
Promoting Interoperability100
Improvement Activities40
Cost51.12

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.

JOHN LABERNIK DNP, CRNA
Nurse Anesthetist, Certified Registered
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
MARY ELIZABETH PHILLIPS DIETITIAN
Dietitian, Registered
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
ANESTHESIA IOWA PLC
Anesthesiology
404 JEFFERSON ST
PELLA, IA 50219
Marion County (913) 342-4900
MRS. KIMBERLY KAY PICKETT LISW
Social Worker (Clinical)
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
JANA BETH VINK LMSW
Social Worker
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
JENNA KAY ZOSS PA-C
Physician Assistant
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 621-2200
DR. MINDI JO JORGENSON PHARMD
Pharmacist
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-6616
DR. ALISON JEAN SMITH D.O.
Radiology (Diagnostic Radiology)
404 JEFFERSON ST, MEDICAL IMAGING DEPARTMENT
PELLA, IA 50219
Marion County (641) 628-6622

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 Garrett Donaldson's NPI number?

The NPI number for Garrett Donaldson is 1356804249. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Garrett Donaldson located?

Garrett Donaldson practices at 404 Jefferson St, Pella, IA 50219. The listed phone number is (641) 621-2200.

What is Garrett Donaldson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Garrett Donaldson enrolled in Medicare?

Yes. Garrett Donaldson 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 Garrett Donaldson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Garrett Donaldson 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 Garrett Donaldson affiliated with any hospitals?

According to CMS data, Garrett Donaldson is affiliated with Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Garrett Donaldson was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.