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DR. HARLEY DANIEL DONNELLY MD
NPI 1417967787
Family Medicine in Williston, VT

Active since August 09, 2006PECOS Enrolled
586 OAK HILL RD, WILLISTON, VT 05495(802) 878-8131(802) 879-8653 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Harley Daniel Donnelly Md NPPES

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

DR. HARLEY DANIEL DONNELLY MD (NPI 1417967787) is an individual family medicine provider in Williston, Vermont, licensed in Vermont (8807) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417967787
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HARLEY DANIEL DONNELLYCredential: MD
Location Address586 OAK HILL RDWilliston, VT 05495
Mailing Address586 Oak Hill RdWilliston, VT 05495 · (802) 878-8131 · Fax (802) 879-8653
Phone(802) 878-8131
Fax(802) 879-8653
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 2, 2009
✔ NPI 1417967787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 8807
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.
586 OAK HILL RD, Williston, VT 05495
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Other Identifiers 3

Medicare ID-Type UnspecifiedVN0733
Medicare UPINF00831
MedicaidOVN0733VT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harley Daniel Donnelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Harley Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thomas Chittenden Health Center, Plc
Same address
Family Medicine
586 OAK HILL ROAD
Williston, VT 05495
  • Reassigned Medicare billing, Vermont enrollment
  • 16 clinicians in this Medicare group
NPI 1811099229 (802) 878-8131

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05495 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$1.89 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 19

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

ADRIANE CROSS TROUT M.D.
Family Medicine
586 OAK HILL RD
WILLISTON, VT 05495
Chittenden County (802) 878-8131
KATHARINE ANN STONES DNP, FNP-C
Nurse Practitioner (Family)
586 OAK HILL RD
WILLISTON, VT 05495
Chittenden County (802) 878-8131
ANASTASIYA LULIC FNP
Nurse Practitioner (Family)
586 OAK HILL RD
WILLISTON, VT 05495
Chittenden County (802) 878-8131
PAMELA JANE DAWSON MD
Family Medicine
586 OAK HILL RD
WILLISTON, VT 05495
Chittenden County (802) 878-8131
MS. JENA S KATZMAN APRN, FNP
Nurse Practitioner (Family)
586 OAK HILL RD
WILLISTON, VT 05495
Chittenden County (802) 878-8131
DR. DAVID NICHOLAS SIMCOE D.O.
Family Medicine
586 OAK HILL RD
WILLISTON, VT 05495
Chittenden County (802) 878-8131
SUSAN HANNAH RABIN MD
Family Medicine
586 OAK HILL RD, THOMAS CHITTENDEN HEALTH CTR
WILLISTON, VT 05495
Chittenden County (802) 878-8131
SHANNON BURNS PA-C, ATC
Physician Assistant
586 OAK HILL RD
WILLISTON, VT 05495
Chittenden County (802) 878-8131

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 Harley Donnelly's NPI number?

The NPI number for Harley Donnelly is 1417967787. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Harley Donnelly located?

Harley Donnelly practices at 586 Oak Hill Rd, Williston, VT 05495. The listed phone number is (802) 878-8131.

What is Harley Donnelly's specialty?

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

Is Harley Donnelly enrolled in Medicare?

Yes. Harley Donnelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Harley Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harley Donnelly reassigns Medicare benefits to Thomas Chittenden Health Center, Plc (Williston, VT). The 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 Harley Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Harley Donnelly was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.