RILEY PATRICK DONLON PA-C
NPI 1447891619
Physician Assistant in Worcester, MA
About Riley Patrick Donlon Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RILEY PATRICK DONLON PA-C (NPI 1447891619) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA7254) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains a secondary practice location in Worcester.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Riley Patrick Donlon Pa-c 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Riley Donlon's NPI number?
The NPI number for Riley Donlon is 1447891619. It was assigned to this individual provider in the NPPES registry on September 30, 2019.
Where is Riley Donlon located?
Riley Donlon practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-7552.
What is Riley Donlon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Riley Donlon enrolled in Medicare?
Yes. Riley Donlon 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 Riley Donlon accept?
Health plans from Anthem Blue Cross and Blue Shield list Riley Donlon 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 Riley Donlon affiliated with any hospitals?
According to CMS data, Riley Donlon is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Riley Donlon was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Riley Patrick Donlon, PA-C · NPI 1447891619
Physician Assistant physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since September 30, 2019.
## Identity
- **NPI:** 1447891619 (Entity type: Individual)
- **Enumerated:** September 30, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA7254 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (774) 443-7552 · **Fax:** (774) 441-6086
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 5, 2020
- **Other identifiers:** Medicaid 110157378A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1447891619) · Data from the CMS NPPES public registry.