MR. DONALD ANTHONY SELPH JR. MD FACP
NPI 1427163344
Internal Medicine in Eastman, GA

Active since August 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D1098863 · Waiver
911 PLAZA AVENUE, SUITE D, EASTMAN, GA 31023(478) 374-5544(478) 374-0608 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Donald Anthony Selph Jr. Md Facp NPPES

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

MR. DONALD ANTHONY SELPH JR. MD FACP (NPI 1427163344) is an individual internal medicine provider in Eastman, Georgia, licensed in Georgia (042117) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 28, 2027, and is affiliated with Dodge County Hospital.

NPPES Registry Identity

NPI1427163344
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. DONALD ANTHONY SELPH JR.Credential: MD FACP
Location Address911 PLAZA AVENUE, SUITE DEastman, GA 31023
Mailing Address911 Plaza Avenue, Suite DEastman, GA 31023 · (478) 374-5544 · Fax (478) 374-0608
Fax(478) 374-0608
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1995
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1427163344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 042117
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.
911 PLAZA AVENUE, Eastman, GA 31023

Other Identifiers 3

Medicare ID-Type Unspecified11BDPFQGA
Medicare UPING79254
Medicaid00795165AGA

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

Mr. Donald Anthony Selph Jr. Md Facp 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 ID8921154857
PECOS Enrollment IDI20090918000080
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1098863

Donald A Selph Junior MD Facp PC · Eastman, GA
Active · expires Apr 28, 2027
CLIA Number11D1098863
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorDonald A. Selph Junor
Laboratory Phone(478) 374-5544
Laboratory LocationDonald A Selph Junior MD Facp PC911 Plaza Avenue Suite D, Eastman, GA 31023
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 27

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.

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.
1,301 services272 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
720 services74 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
183 services183 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
180 services180 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
168 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
141 services105 patients

Hospital Affiliations CMS Care Compare 4

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

Dodge County Hospital

Acute Care Hospitals · Eastman, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110092
Location901 Griffin AveEastman, GA 31023 · Dodge County
Emergency services

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Bleckley Memorial Hospital

Critical Access Hospitals · Cochran, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111302
Location145 Peacock StreetCochran, GA 31014 · Bleckley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31023 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
97%212 patients4/55-star benchmark: 100%
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…
100%198 patients5/55-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 14

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 suppliers65 claims138 services$6.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims13 services$1.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers33 claims33 services$106.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers32 claims92 services$41.63 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers26 claims26 services$67.83 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers31 claims31 services$20.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Selph's NPI number?

The NPI number for Donald Selph is 1427163344. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Donald Selph located?

Donald Selph practices at 911 Plaza Avenue Suite D, Eastman, GA 31023. The listed phone number is (478) 374-5544.

What is Donald Selph's specialty?

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

Is Donald Selph enrolled in Medicare?

Yes. Donald Selph 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.

Does Donald Selph hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1098863) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Donald Selph affiliated with any hospitals?

According to CMS data, Donald Selph is affiliated with Dodge County Hospital, Fairview Park Hospital, Coliseum Medical Centers, LLC, Dba and Bleckley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Selph was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.