GAIL DONOFRIO MD
NPI 1528058872
Emergency Medicine in New Haven, CT

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST, YNHH SOUTH PAVILION 218, NEW HAVEN, CT 06504(203) 688-2222(203) 785-4580 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gail Donofrio Md NPPES

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

GAIL DONOFRIO MD (NPI 1528058872) is an individual emergency medicine provider in New Haven, Connecticut, licensed in Connecticut (035250) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1987).

NPPES Registry Identity

NPI1528058872
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameGAIL DONOFRIOCredential: MD
Location Address20 YORK ST, YNHH SOUTH PAVILION 218New Haven, CT 06504-8900
Mailing AddressPo Box 9805, 300 George St, 6th FloorNew Haven, CT 06536-0805
Fax(203) 785-4580
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1987
Enumeration DateOctober 27, 2005
Last NPPES UpdateJune 27, 2008
NPI 1528058872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CT · 035250
Definition

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.

20 YORK ST, New Haven, CT 06504

Other Identifiers 3

Medicare UPINE95372
Medicare ID-Type Unspecified930000433CT
Medicaid001352509CT

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

Gail Donofrio 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 ID1951343268
PECOS Enrollment IDI20050526000550
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
44 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
19 services19 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06504 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Social Worker (Clinical)
20 YORK ST, YPH
NEW HAVEN, CT 06504
Physician Assistant (Surgical)
20 YORK ST
NEW HAVEN, CT 06504
Hospitalist
20 YORK ST, YNH MEDICAL SERVICES PC - CB 2041
NEW HAVEN, CT 06504
Pathology (Clinical Pathology/Laboratory Medicine)
20 YORK ST, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06504
Hospitalist
20 YORK ST, YNH MEDICAL SERVICES PC - CB 2041
NEW HAVEN, CT 06504
Pediatrics (Pediatric Pulmonology)
20 YORK ST, YNHH (CHILDREN'S) WEST PAVILION 2ND FLOOR
NEW HAVEN, CT 06504
Social Worker (Clinical)
20 YORK ST, YPH LV-111
NEW HAVEN, CT 06504
Physician Assistant (Medical)
20 YORK ST, CB-2041 HOSPITALIST SERVICE
NEW HAVEN, CT 06504

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 Gail Donofrio's NPI number?

The NPI number for Gail Donofrio is 1528058872. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Gail Donofrio located?

Gail Donofrio practices at 20 York St Ynhh South Pavilion 218, New Haven, CT 06504. The listed phone number is (203) 688-2222.

What is Gail Donofrio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gail Donofrio enrolled in Medicare?

Yes. Gail Donofrio 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.

When was this NPI record last updated?

The NPPES record for Gail Donofrio was last updated on June 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.