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DONALD A SAELINGER M.D.
NPI 1447295407
Internal Medicine - Gastroenterology in Newport, KY

Active since June 16, 2006PECOS Enrolled
17 E. SIXTH ST, NEWPORT, KY 41017(859) 431-8285(859) 431-8286 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald A Saelinger M.d. NPPES

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

DONALD A SAELINGER M.D. (NPI 1447295407) is an individual gastroenterology provider in Newport, Kentucky, licensed in Indiana (01068075A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447295407
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDONALD A SAELINGERCredential: M.D.
Location Address17 E. SIXTH STNewport, KY 41017-1803
Mailing Address17 E. Sixth StNewport, KY 41017-1803 · (859) 431-8285 · Fax (859) 431-8286
Phone(859) 431-8285
Fax(859) 431-8286
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1447295407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in IN · 01068075A✔ Licensed in KY · 17367✔ Licensed in OH · 35.037399
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
17 E. SIXTH ST, Newport, KY 41017
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Other Identifiers 5

Medicaid0289236OH
MedicaidPENDINGIN
Other100009313KY · Railroad Medicare
Other000000654276IN · Anthem Provider Number
Medicaid64173677KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald A Saelinger M.d. 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.

Areas of Expertise CMS Part B claims 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Saelinger's NPI number?

The NPI number for Donald Saelinger is 1447295407. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Donald Saelinger located?

Donald Saelinger practices at 17 E. Sixth St, Newport, KY 41017. The listed phone number is (859) 431-8285.

What is Donald Saelinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Donald Saelinger enrolled in Medicare?

Yes. Donald Saelinger is registered in the Medicare PECOS enrollment system.

What insurance does Donald Saelinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Donald Saelinger 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 Saelinger was last updated on August 25, 2021. 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.