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DR. DONALD ROSS HART N.P.-C
NPI 1386049310
Nurse Practitioner in Burlingame, CA

Active since November 04, 2014PECOS EnrolledAccepts Medicare Assignment
1501 TROUSDALE DR, BURLINGAME, CA 94010(650) 652-8448 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Donald Ross Hart N.p.-c NPPES

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

DR. DONALD ROSS HART N.P.-C (NPI 1386049310) is an individual nurse practitioner in Burlingame, California, licensed in California (NP95027736) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (2015).

NPPES Registry Identity

NPI1386049310
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. DONALD ROSS HARTCredential: N.P.-C
Location Address1501 TROUSDALE DRBurlingame, CA 94010-4506
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 652-8448
Phone(650) 652-8448
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2015
Enumeration DateNovember 4, 2014
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1386049310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95027736
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1025373 (TX), 201405521NP-PP (OR)
1501 TROUSDALE DR, Burlingame, CA 94010
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Secondary Practice Locations 2

Location 15656 Kelley StHouston, TX 77026-1967 · Phone (713) 566-5100
Location 25329 NE Mlk Jr BlvdPortland, OR 97211-3237 · Phone (503) 988-5183

Other Identifiers 2

Medicaid096511OR
Medicaid22959OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald Ross Hart N.p.-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 ID1355656356
PECOS Enrollment IDI20240226001052
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Hart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation
16 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121
Multnomah County
546 mi
Public Health, State or Local
3653 SE 34TH AVE
Portland, OR 97202
  • Reassigned Medicare billing, Oregon enrollment
  • 215 clinicians in this Medicare group
NPI 1720126816 (503) 988-7462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
304 services58 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.
37 services35 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Reported Quality Measures

Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
100%28 patients
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
75%563 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
19%486 patients1/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
53%222 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
94%222 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
31%2,575 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
91%159 patients5/55-star benchmark: 90%
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…
36%1,294 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
40%1,126 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
91%1,016 patients4/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 628 patients
Patients tobacco: 94% · 628 patients
77%151 patients4/55-star benchmark: 98%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period
29%382 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
69%278 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 159 patients
9%159 patients3/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 24% · 221 patients
Patients physicalActivity: 27% · 221 patients
100%221 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$52.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. GEOFFREY WAYNE KRAMPITZ M.D., PH.D.
Surgery (Surgical Oncology)
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8787
EVELYN KHOO MD
Family Medicine
1501 TROUSDALE DR, 3RD FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600
RICHARD C LIU D.O.
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 458-0032
DIRK BAUMANN M.D.
Surgery (Vascular Surgery)
1501 TROUSDALE DR, 5TH FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8787
DR. SAMI H BOGALE M.D.
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 696-5400
TAK POON MD
Internal Medicine (Cardiovascular Disease)
1501 TROUSDALE DR, 2ND FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600
KARIN K. WERTZ MD
Pediatrics
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8720
DR. AMIR ALI SCHRICKER M.D
Internal Medicine (Clinical Cardiac Electrophysiology)
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600

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 Donald Hart's NPI number?

The NPI number for Donald Hart is 1386049310. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Donald Hart located?

Donald Hart practices at 1501 Trousdale Dr, Burlingame, CA 94010. The listed phone number is (650) 652-8448.

What is Donald Hart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donald Hart enrolled in Medicare?

Yes. Donald Hart 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.

Which organizations bill Medicare for Donald Hart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Hart reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Palo Alto, CA) and Multnomah County (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Hart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Hart accept?

Health plans from Oscar Insurance Company list Donald Hart 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 Donald Hart was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.