TERRANCE E DONNAL JR. MD
NPI 1497771570
Family Medicine in Madison, WI

Q: What is Terrance Donnal's NPI number?

The NPI number for Terrance Donnal is 1497771570. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Terrance Donnal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Terrance Donnal was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6161 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2021, Feb 4, 2021, Aug 14, 2020 (3 updates tracked since 2020).

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About Terrance E Donnal Jr. Md NPPES

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

TERRANCE E DONNAL JR. MD (NPI 1497771570) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (45889) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Winona.

NPPES Registry Identity

NPI1497771570

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTERRANCE E DONNAL JR.Credential: MD

Location Address1821 S STOUGHTON RDMadison, WI 53716-2257

Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000 · Fax (608) 260-6161

Phone(608) 260-6000

Fax(608) 260-6161

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996

Enumeration DateJuly 14, 2006

Last NPPES UpdateApril 30, 20213 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1497771570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 45889✔ Licensed in MN · 46187

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 46187 (MN)

Also ListedEmergency MedicineTaxonomy 207P00000X · License 46187 (MN)

1821 S STOUGHTON RD, Madison, WI 53716

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Secondary Practice Location 1

Location 1855 Mankato Ave, Box 5600Winona, MN 55987-4868 · Phone (507) 454-3650

Other Identifiers 4

Other105K1D0MN · Blue Cross Blue Shield

Medicaid1497771570WI

Medicaid071641300MN

Other34414700WI · Ma

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Terrance E Donnal Jr. Md 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 ID547163107

PECOS Enrollment IDI20090317000628

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 5

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 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.

137 services127 patients

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.

125 services125 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

51 services49 patients

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.

23 services23 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

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