PATRICK JAMES DONEGAN MD
NPI 1568101335
Ophthalmology in Boston, MA

Q: What is Patrick Donegan's NPI number?

The NPI number for Patrick Donegan is 1568101335. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Q: What is Patrick Donegan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Donegan was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 01, 2022PECOS Enrolled

243 CHARLES ST, BOSTON, MA 02114(617) 523-7900 Get Directions Write a Review

NPPES record last updated: July 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Patrick James Donegan Md NPPES

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

PATRICK JAMES DONEGAN MD (NPI 1568101335) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (1026315) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568101335

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NamePATRICK JAMES DONEGANCredential: MD

Location Address243 CHARLES STBoston, MA 02114-3096

Mailing Address243 Charles StBoston, MA 02114-3096

Phone(617) 523-7900

Sole ProprietorNo

Enumeration DateJune 1, 2022

Last NPPES UpdateJuly 4, 2026

NPPES CertifiedJuly 4, 2026

✔ NPI 1568101335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MA · 1026315

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

243 CHARLES ST, Boston, MA 02114

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick James Donegan Md 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 Reassignment

Medicare enrollment records show Patrick Donegan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Massachusetts Eye And Ear Associates, Inc.

Same address

Ophthalmology

243 CHARLES ST
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
478 clinicians in this Medicare group

NPI 1932574332 (617) 523-7900

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 02114 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

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.

CARLA PETERSEN AU.D., CCC-A

Audiologist

243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114

Suffolk County (617) 573-3266

DR. SULEMAN IMRAN KHAN MD

Ophthalmology

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-4443

DR. RYAN CARLSON MD PHD

Student in an Organized Health Care Education/Training Program

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 523-7900

MASSACHUSETTS EYE AND EAR INFIRMARY

Eyewear Supplier

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3182

DANIEL ROBERT LEFEBVRE M.D.

Ophthalmology

243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114

Suffolk County (617) 523-7900

ELLIOTT D. KOZIN MD

Otolaryngology

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-6545

DR. LUCIA K SOMBERG MD, MPH

Emergency Medicine

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3431

MS. JANET ENGLISH HUETTIG LICSW

Social Worker (Clinical)

243 CHARLES ST
BOSTON, MA 02114

Suffolk County (617) 573-3548

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 Patrick Donegan's NPI number?

The NPI number for Patrick Donegan is 1568101335. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Patrick Donegan located?

Patrick Donegan practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 523-7900.

What is Patrick Donegan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Patrick Donegan enrolled in Medicare?

Yes. Patrick Donegan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Donegan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Donegan reassigns Medicare benefits to Massachusetts Eye And Ear Associates, Inc. (Boston, MA). The 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 Patrick Donegan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Donegan accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Patrick Donegan 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 Patrick Donegan was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.