TERRY ROBERT DONALDSON MD
NPI 1417903709
Internal Medicine in Rock Springs, WY

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
1577 DEWAR DR STE 8, ROCK SPRINGS, WY 82901(307) 389-5888 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terry Robert Donaldson Md NPPES

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

TERRY ROBERT DONALDSON MD (NPI 1417903709) is an individual internal medicine provider in Rock Springs, Wyoming, licensed in Wyoming (5702A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and is a graduate of Creighton University School Of Medicine (1992).

NPPES Registry Identity

NPI1417903709
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTERRY ROBERT DONALDSONCredential: MD
Location Address1577 DEWAR DR STE 8Rock Springs, WY 82901-5716
Mailing Address1577 Dewar Dr Ste 8Rock Springs, WY 82901-5716 · (307) 389-5888
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1992
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
NPI 1417903709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WY · 5702A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1577 DEWAR DR STE 8, Rock Springs, WY 82901

Other Identifiers 1

Medicaid110853100WY

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

Terry Robert 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 ID7012983679
PECOS Enrollment IDI20040903001008
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
428 services188 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
189 services184 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
177 services99 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sagewest Health Care

Acute Care Hospitals · Riverton, WY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number530008
Location2100 W Sunset DrRiverton, WY 82501 · Fremont County
Emergency services

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

Platte County Memorial Hospital

Critical Access Hospitals · Wheatland, WY
OwnershipGovernment - Local
CMS Certification Number531305
Location201 14th StreetWheatland, WY 82201 · Platte County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
76%75 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers45 claims111 services$5.32 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers18 claims18 services$35.93 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers38 claims38 services$104.12 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers39 claims109 services$41.72 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers26 claims26 services$22.46 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers21 claims21 services$20.45 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

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

Internal Medicine (Cardiovascular Disease)
1577 DEWAR DR STE 8
ROCK SPRINGS, WY 82901

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 Terry Donaldson's NPI number?

The NPI number for Terry Donaldson is 1417903709. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Terry Donaldson located?

Terry Donaldson practices at 1577 Dewar Dr Ste 8, Rock Springs, WY 82901. The listed phone number is (307) 389-5888.

What is Terry Donaldson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Terry Donaldson enrolled in Medicare?

Yes. Terry 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 Terry Donaldson accept?

Health plans from Oscar Insurance Company and University of Utah Health Plans list Terry 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 Terry Donaldson affiliated with any hospitals?

According to CMS data, Terry Donaldson is affiliated with Sagewest Health Care, Wyoming Medical Center and Platte County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Terry Donaldson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.