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EDMUND J DONHUE PA-C, MPAS
NPI 1407048424
Physician Assistant in Nashville, TN

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1215 21ST AVE S, SUITE 5209, MCE 5TH FLOOR SOUTH TOWER, NASHVILLE, TN 37232(615) 343-9195(615) 343-4630 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2021, Mar 17, 2021, Oct 19, 2020 (3 updates tracked since 2020).

About Edmund J Donhue Pa-c, Mpas NPPES

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

EDMUND J DONHUE PA-C, MPAS (NPI 1407048424) is an individual physician assistant in Nashville, Tennessee, licensed in Tennessee (0169) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407048424
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDMUND J DONHUECredential: PA-C, MPAS
Location Address1215 21ST AVE S, SUITE 5209, MCE 5TH FLOOR SOUTH TOWERNashville, TN 37232-0014
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 343-9195
Fax(615) 343-4630
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 14, 2007
Last NPPES UpdateApril 1, 20223 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
✔ NPI 1407048424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 0169
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 0169 (TN)
1215 21ST AVE S, Nashville, TN 37232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Edmund J Donhue Pa-c, Mpas 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 ID9335276385
PECOS Enrollment IDI20100422000500
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

AMANDA B DICKERT I CRNA
Nurse Anesthetist, Certified Registered
1215 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-6336
ALICIA STALLINGS M.D.
Hospitalist
1215 21ST AVE S, SUITE II, 7TH FLOOR
NASHVILLE, TN 37232
Davidson County (615) 936-8590
MARY ALICE PATTON
Speech-Language Pathologist
1215 21ST AVE S, SUITE 6209
NASHVILLE, TN 37232
Davidson County (615) 936-1597
MRS. JENNIFER H PILKINGTON MS, CCC-SLP
Speech-Language Pathologist
1215 21ST AVE S, SUITE 6209
NASHVILLE, TN 37232
Davidson County (615) 936-5212
ALEXANDER E. KOLOMAYA MD
Student in an Organized Health Care Education/Training Program
1215 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 322-5000
DR. RYAN ALLEN KELLN D.O.
Pediatrics
1215 21ST AVE S, MEDICAL CENTER EAST, SUITE 3200
NASHVILLE, TN 37232
Davidson County (615) 936-7846
STEPHANIE MARTIN RD, LDN
Dietitian, Registered
1215 21ST AVE S, 6100 MEDICAL CENTER EAST, NORTH TOWER
NASHVILLE, TN 37232
Davidson County (615) 936-1075
ALLISON LEIGH SCHWALL MD
Hospitalist
1215 21ST AVE S, MCE NORTH TOWER SUITE 6000
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Edmund Donhue's NPI number?

The NPI number for Edmund Donhue is 1407048424. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Edmund Donhue located?

Edmund Donhue practices at 1215 21st Ave S Suite 5209, Mce 5th Floor South Tower, Nashville, TN 37232. The listed phone number is (615) 343-9195.

What is Edmund Donhue's specialty?

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

Is Edmund Donhue enrolled in Medicare?

Yes. Edmund Donhue 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 Edmund Donhue accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Edmund Donhue 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 Edmund Donhue was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.