DR. ROBERT J DONACHIE JR. M.D.
NPI 1528090446
Internal Medicine - Gastroenterology in Plano, TX

Active since July 07, 2006PECOS Enrolled
91.11/100
CMS Quality Rating
3060 COMMUNICATIONS PKWY, 105, PLANO, TX 75093(972) 394-8182 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2024, Aug 18, 2023 (2 updates tracked since 2023).

About Dr. Robert J Donachie Jr. M.d. NPPES

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

DR. ROBERT J DONACHIE JR. M.D. (NPI 1528090446) is an individual gastroenterology provider in Plano, Texas, licensed in California (C200190) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528090446
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ROBERT J DONACHIE JR.Credential: M.D.
Location Address3060 COMMUNICATIONS PKWY, 105Plano, TX 75093-8449
Mailing Address3060 Communications Pkwy, 105Plano, TX 75093-8449 · (972) 394-8182
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1528090446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in CA · C200190✔ Licensed in CO · DR.0065999✔ Licensed in TX · G0901
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3060 COMMUNICATIONS PKWY, Plano, TX 75093

Secondary Practice Locations 2

Location 1111 Raley Blvd Ste 100Chico, CA 95928-8351 · Phone (530) 894-8800
Location 210350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Other Identifiers 1

Medicaid26200252CO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert J Donachie Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Robert Donachie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
1111 MEDICAL PLAZA DR, SUITE 250
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
Gastroenterology
111 RALEY BLVD, SUITE 100
Chico, CA 95928
  • Reassigned Medicare billing, California enrollment
  • 42 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

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.

Clinic/Center (Ambulatory Surgical)
3060 COMMUNICATIONS PKWY, STE 104
PLANO, TX 75093
Clinic/Center (Pain)
3060 COMMUNICATIONS PKWY, SUITE 104
PLANO, TX 75093
Clinic/Center (Radiology)
3060 COMMUNICATIONS PKWY, SUITE 103
PLANO, TX 75093
Clinic/Center (Radiology)
3060 COMMUNICATIONS PKWY
PLANO, TX 75093
Physician Assistant
3060 COMMUNICATIONS PKWY, SUITE 100
PLANO, TX 75093
Clinic/Center (Pain)
3060 COMMUNICATIONS PKWY, SUITE 104
PLANO, TX 75093
3060 COMMUNICATIONS PKWY, SUITE 100
PLANO, TX 75093
Neurological Surgery
3060 COMMUNICATIONS PKWY, SUITE 100
PLANO, TX 75093

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 Robert Donachie's NPI number?

The NPI number for Robert Donachie is 1528090446. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Robert Donachie located?

Robert Donachie practices at 3060 Communications Pkwy 105, Plano, TX 75093. The listed phone number is (972) 394-8182.

What is Robert Donachie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Donachie enrolled in Medicare?

Yes. Robert Donachie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Donachie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Donachie reassigns Medicare benefits to 3 organizations: Wael Asi MD PA (The Woodlands, TX), Denver Health And Hospital Authority (Denver, CO) and Enloe Medical Center (Chico, CA). 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 Robert Donachie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Donachie accept?

Health plans from Blue Cross and Blue Shield of Texas list Robert Donachie 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.

When was this NPI record last updated?

The NPPES record for Robert Donachie was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.