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

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  • 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
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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
221452OTHER (01)FLAMERIGROUP
80925OTHER (01)FLBLUE CROSS OF FLORIDA
F92527MEDICARE UPIN (02)FL 
930069955MEDICARE PIN (08) 
376750700MEDICAID (05)FL 
80925VMEDICARE 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 EventYesN/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-upYesN/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 RecordYesN/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 CliniciansYesN/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

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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.
1487680039
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167128006
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 = 99

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

(727) 823-2188

THOR WILLIAM VAN DIVER M.D.

Anesthesiology

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-2188

EMERGENCY MEDICAL ASSOCIATES OF FL, LLC

Emergency Medicine

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 825-1100

BETH ANN GIRGIS MD

Emergency Medicine

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

MICHAEL D HILLMAN DO

Emergency Medicine

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

MICHAEL JAMES LAWLESS MD

Emergency Medicine

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

DR. CURTIS L. SONGSTER M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 893-6182

JEFFREY IRV MARDER MD

Anesthesiology

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-2188

BRIAN STANTON HEDRICK DO

Emergency Medicine

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

LARRY J. DAVIS M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 893-6182

DAVID A. WEILAND JR. M.D.

Internal Medicine

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

JAMES D MURPHY JR. MD

Anesthesiology

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-2188

JOSE M THRUSH -SANCHEZ CRNA

Nurse Anesthetist, Certified Registered

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-2188

MICHAEL E ROBBINS CRNA

Nurse Anesthetist, Certified Registered

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-2188

LISA KIMBERLY MCALAVY SIEWERT PAC

Physician Assistant

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

ERIK SCOTT RAUCH CRNA

Nurse Anesthetist, Certified Registered

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-2188

MARK MILEWSKI PAC

Physician Assistant

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

MR. LENIN R MORENO RD

Dietitian, Registered

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 893-6165

KRISTA JANE GILLIS MD

Emergency Medicine

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-1234

JESSICA RAY MATKIN CRNA

Nurse Anesthetist, Certified Registered

701 6TH ST S
ST PETERSBURG, FL
ZIP 33701

(727) 823-2188

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].
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