DONNA J FLEMMING MD
NPI 1518902279
Family Medicine - Geriatric Medicine in Wichita, KS

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
1010 N KANSAS ST, WICHITA, KS 67214(316) 293-2611(316) 293-1882 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 10, 2025, Jun 19, 2023, Mar 17, 2021 and 2 more (5 updates tracked since 2016).

About Donna J Flemming Md NPPES

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

DONNA J FLEMMING MD (NPI 1518902279) is an individual geriatric medicine provider in Wichita, Kansas, licensed in Kansas (04-25909) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Nmc Health, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1518902279
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDONNA J FLEMMINGCredential: MD
Location Address1010 N KANSAS STWichita, KS 67214-3124
Mailing Address1010 N Kansas StWichita, KS 67214-3124 · (316) 293-2607 · Fax (316) 293-2696
Fax(316) 293-1882
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1994
Enumeration DateJune 18, 2006
Last NPPES UpdateDecember 10, 20255 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1518902279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in KS · 04-25909
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 25909 (KS)
1010 N KANSAS ST, Wichita, KS 67214

Secondary Practice Locations 8

Location 11220 World War II Memorial DrWinfield, KS 67156-5516 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 2818 N Carriage PkwyWichita, KS 67208-4500 · Phone (316) 651-2216 · Fax (316) 651-2256
Location 32301 N Severance StHutchinson, KS 67502-4301 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 4407 N Locust StPeabody, KS 66866-1117 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 52133 S Elizabeth StWichita, KS 67213-3403 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 6915 McNair StHalstead, KS 67056-2518 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 77829 E Rockhill St Ste 403Wichita, KS 67206-3915 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 81035 SE 3rd StNewton, KS 67114-3904 · Phone (316) 293-2611 · Fax (316) 293-1882

Other Identifiers 3

Medicaid30004205480005KS
Medicaid100287550BKS
Other058550Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna J Flemming 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 ID749223790
PECOS Enrollment IDI20050609001018
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donna Flemming reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1001 N MINNEAPOLIS
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 130 clinicians in this Medicare group
Internal Medicine
2600 N WOODLAWN BLVD
Wichita, KS 67220
  • Reassigned Medicare billing, Kansas enrollment
  • 136 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
819 services259 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
100 services69 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
74 services54 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
71 services68 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
40 services39 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
38 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Nmc Health

Acute Care Hospitals · Newton, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170103
Location600 Medical Center DriveNewton, KS 67114 · Harvey County
Emergency services

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

William Newton Hospital

Critical Access Hospitals · Winfield, KS
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171383
Location1300 East Fifth AvenueWinfield, KS 67156 · Cowley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.21
Promoting Interoperability98
Improvement Activities40
Cost73.2

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims34 services$7.04 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
3 suppliers44 claims44 services$19.65 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier37 claims37 services$3.99 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers52 claims52 services$7.63 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers13 claims23 services$5.84 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier16 claims320 services$8.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1010 N KANSAS ST
WICHITA, KS 67214
Psychiatry & Neurology (Psychiatry)
1010 N KANSAS ST
WICHITA, KS 67214
Psychiatry & Neurology (Psychiatry)
1010 N KANSAS ST
WICHITA, KS 67214
Obstetrics & Gynecology
1010 N KANSAS ST
WICHITA, KS 67214
Surgery
1010 N KANSAS ST
WICHITA, KS 67214
Anesthesiology
1010 N KANSAS ST
WICHITA, KS 67214
Pediatrics
1010 N KANSAS ST
WICHITA, KS 67214
Family Medicine
1010 N KANSAS ST
WICHITA, KS 67214

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 Donna Flemming's NPI number?

The NPI number for Donna Flemming is 1518902279. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Donna Flemming located?

Donna Flemming practices at 1010 N Kansas St, Wichita, KS 67214. The listed phone number is (316) 293-2611.

What is Donna Flemming's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Donna Flemming enrolled in Medicare?

Yes. Donna Flemming 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.

Which organizations bill Medicare for Donna Flemming's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Flemming reassigns Medicare benefits to 2 organizations: University Of Kansas School Of Medicine Wichita Medical Practice Assoc (Wichita, KS) and Wesley Physicians Medical Specialties LLC (Wichita, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Flemming's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Flemming accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Donna Flemming 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 Donna Flemming affiliated with any hospitals?

According to CMS data, Donna Flemming is affiliated with Nmc Health, Wesley Medical Center and William Newton Hospital.

When was this NPI record last updated?

The NPPES record for Donna Flemming was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.