DONNA MAACK DOOLEY DO
NPI 1487680039
Emergency Medicine in St Petersburg, FL
NPI Status: Active since June 24, 2006
Contact Information
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 823-1234
- Individual
- Female
- Emergency Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About DONNA DOOLEY
This page provides the complete NPI Profile along with additional information for Donna Dooley, a provider established in St Petersburg, Florida with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1487680039 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number OS6244 (FL). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1487680039
- Provider Name
- DONNA MAACK DOOLEY DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 6TH ST S ST PETERSBURG, FL 33701
- Location Phone
- (727) 823-1234
- Mailing Address
- PO BOX 10030 DAYTONA BEACH, FL 32120
- Mailing Phone
- (386) 274-7800
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-24-2006
- Last Update Date
- 08-03-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS6244
- License State
- FL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
221452 | OTHER (01) | FL | AMERIGROUP |
80925 | OTHER (01) | FL | BLUE CROSS OF FLORIDA |
F92527 | MEDICARE UPIN (02) | FL | |
930069955 | MEDICARE PIN (08) | ||
376750700 | MEDICAID (05) | FL | |
80925V | MEDICARE PIN (08) | FL |
Medicare Participation & PECOS Enrollment Status
Donna Dooley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event | Yes | N/A |
A MIPS eligible clinician providing unscheduled care (such as an emergency room, urgent care, or other unplanned encounter) attests that, for greater than 75 percent of case visits that result from a clinically significant adverse drug event, the MIPS eligible clinician provides information, including through the use of health IT to the patient’s primary care clinician regarding both the unscheduled visit and the nature of the adverse drug event within 48 hours. A clinically significant adverse event is defined as a medication-related harm or injury such as side-effects, supratherapeutic effects, allergic reactions, laboratory abnormalities, or medication errors requiring urgent/emergent evaluation, treatment, or hospitalization. | ||
Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
Provide Education Opportunities for New Clinicians | Yes | N/A |
MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas. |
Reviews for DONNA MAACK DOOLEY DO
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 8 | 7 | 6 | 8 | 0 | 0 | 3 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 16 | 7 | 12 | 8 | 0 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 6 + 7 + 1 + 2 + 8 + 0 + 0 + 6 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1487680039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
HAKHAMANESH NEMAT CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ANESTHESIA DEPT
ST PETERSBURG, FL
ZIP 33701
THOR WILLIAM VAN DIVER M.D.
Anesthesiology
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
EMERGENCY MEDICAL ASSOCIATES OF FL, LLC
Emergency Medicine
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
BETH ANN GIRGIS MD
Emergency Medicine
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
MICHAEL D HILLMAN DO
Emergency Medicine
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
MICHAEL JAMES LAWLESS MD
Emergency Medicine
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
DR. CURTIS L. SONGSTER M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
JEFFREY IRV MARDER MD
Anesthesiology
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
BRIAN STANTON HEDRICK DO
Emergency Medicine
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
LARRY J. DAVIS M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
DAVID A. WEILAND JR. M.D.
Internal Medicine
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
JAMES D MURPHY JR. MD
Anesthesiology
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
JOSE M THRUSH -SANCHEZ CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
MICHAEL E ROBBINS CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
LISA KIMBERLY MCALAVY SIEWERT PAC
Physician Assistant
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
ERIK SCOTT RAUCH CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
MARK MILEWSKI PAC
Physician Assistant
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
MR. LENIN R MORENO RD
Dietitian, Registered
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
KRISTA JANE GILLIS MD
Emergency Medicine
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
JESSICA RAY MATKIN CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487680039, enumerated in the NPI registry as an "individual" on June 24, 2006
The provider is located at 701 6th St S St Petersburg, Fl 33701 and the phone number is (727) 823-1234
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Amerigroup, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.