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DR. BENJAMIN FRANCIS DONOHUE M.D.
NPI 1558587204
Orthopaedic Surgery in Ithaca, NY

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
16 BRENTWOOD DR, SUITE A, ITHACA, NY 14850(607) 272-7000 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Francis Donohue M.d. NPPES

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

DR. BENJAMIN FRANCIS DONOHUE M.D. (NPI 1558587204) is an individual orthopaedic surgery provider in Ithaca, New York, licensed in New York (285114) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1558587204
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BENJAMIN FRANCIS DONOHUECredential: M.D.
Location Address16 BRENTWOOD DR, SUITE AIthaca, NY 14850-1863
Mailing Address16 Brentwood Dr, Suite AIthaca, NY 14850-1863 · (607) 272-7000
Phone(607) 272-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 28, 2016
✔ NPI 1558587204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NY · 285114✔ Licensed in MA · 221909✔ Licensed in OH · 125140
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 47491 (KY)
16 BRENTWOOD DR, Ithaca, NY 14850
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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. Benjamin Francis Donohue M.d. 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 ID749576569
PECOS Enrollment IDI20160902001706
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,481 services166 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
864 services14 patients
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.
357 services223 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
196 services125 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.
182 services144 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
80 services59 patients

Hospital Affiliations CMS Care Compare

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

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$18.14 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 18

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

DR. HUMAIRA HASSAN M.D.
Internal Medicine
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 277-2170
ROCCO ROSANO PA-C
Physician Assistant
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Tompkins County (607) 272-7000
DR. KENNETH PAUL SUBIN M.D.
Preventive Medicine (Occupational Medicine)
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 339-0680
JAMES C METCALF MD
Neurological Surgery
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 269-0033
RYAN RENO DIRIENZO PA-C
Physician Assistant
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 272-7000
DR. DEIDRE BLAKE M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Tompkins County (607) 272-7000
ERICA LAWLOR PA-C
Physician Assistant
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Tompkins County (607) 269-0033
DR. WALTER EDWARD MARGIE III M.D.
Internal Medicine
16 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 257-1126

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 Benjamin Donohue's NPI number?

The NPI number for Benjamin Donohue is 1558587204. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Benjamin Donohue located?

Benjamin Donohue practices at 16 Brentwood Dr Suite A, Ithaca, NY 14850. The listed phone number is (607) 272-7000.

What is Benjamin Donohue's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Donohue enrolled in Medicare?

Yes. Benjamin Donohue 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.

Is Benjamin Donohue affiliated with any hospitals?

According to CMS data, Benjamin Donohue is affiliated with Cayuga Medical Center At Ithaca.

When was this NPI record last updated?

The NPPES record for Benjamin Donohue was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.