DR. DONALD LEE WEST MD
NPI 1528097995
Family Medicine in Hilliard, OH

Q: What is Donald West's NPI number?

The NPI number for Donald West is 1528097995. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Donald West'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 Donald West was last updated on August 11, 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.

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment

79.35/100

CMS Quality Rating

4343 ALL SEASONS DR STE 160, HILLIARD, OH 43026(614) 541-2676(614) 541-2678 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Mar 27, 2023, Apr 16, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Donald Lee West Md NPPES

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

DR. DONALD LEE WEST MD (NPI 1528097995) is an individual family medicine provider in Hilliard, Ohio, licensed in Ohio (35092202) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528097995

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DONALD LEE WESTCredential: MD

Location Address4343 ALL SEASONS DR STE 160Hilliard, OH 43026-1962

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 541-2676

Fax(614) 541-2678

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 30, 2006

Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1528097995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35092202

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 ListedEmergency MedicineTaxonomy 207P00000X · License 35.092202 (OH), 35092202 (OH)

4343 ALL SEASONS DR STE 160, Hilliard, OH 43026

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Secondary Practice Locations 2

Location 11320 West Main StNewark, OH 43055 · Phone (220) 564-4151 · Fax (220) 564-7153

Location 21320 W Main StNewark, OH 43055-1822 · Phone (220) 564-7153

Other Identifiers 4

Other000000578963OH · Bcbs Fayette

Other000000578107OH · Bcbs Pike

Other000000578220OH · Bcbs Madison

Other000000577721OH · Bcbs Greenfield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Dr. Donald Lee West 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 ID7113005190

PECOS Enrollment IDI20080922000135

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 2

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.

328 services300 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

90 services87 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

79.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.02

Promoting Interoperability

100

Improvement Activities

Cost

57.85

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRANCE EDWARD BANASZAK JR. DO

Emergency Medicine

4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026

Franklin County (614) 541-2676

RONALD JOHNSEN DO

Emergency Medicine

4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026

Franklin County (614) 541-2676

KYLE R LAU MD

Family Medicine

4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026

Franklin County (614) 541-2676

MRS. JAIME LYNN HEISTERKAMP NP-C

Nurse Practitioner (Family)

4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026

Franklin County (614) 541-2676

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 Donald West's NPI number?

The NPI number for Donald West is 1528097995. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Donald West located?

Donald West practices at 4343 All Seasons Dr Ste 160, Hilliard, OH 43026. The listed phone number is (614) 541-2676.

What is Donald West's specialty?

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

Is Donald West enrolled in Medicare?

Yes. Donald West 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.

What insurance does Donald West accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Donald West 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 Donald West affiliated with any hospitals?

According to CMS data, Donald West is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald West was last updated on August 11, 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.