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ANDREW DALLAHAN DONNELLY NP-C
NPI 1578017497
Nurse Practitioner - Family in Cambridge, MA

Active since August 09, 2016PECOS EnrolledAccepts Medicare Assignment
300 MOUNT AUBURN ST, SUITE 517, CAMBRIDGE, MA 02138(617) 868-0847 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 17, 2016, Aug 9, 2016 (2 updates tracked since 2016).

About Andrew Dallahan Donnelly Np-c NPPES

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

ANDREW DALLAHAN DONNELLY NP-C (NPI 1578017497) is an individual family provider in Cambridge, Massachusetts, licensed in Massachusetts (RN2299079) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1578017497
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANDREW DALLAHAN DONNELLYCredential: NP-C
Location Address300 MOUNT AUBURN ST, SUITE 517Cambridge, MA 02138-5600
Mailing Address300 Mount Auburn St, Suite 517Cambridge, MA 02138-5600 · (617) 492-3500
Phone(617) 868-0847
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 9, 2016
Last NPPES UpdateOctober 17, 20162 updates tracked since enumeration
✔ NPI 1578017497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2299079
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2299079 (MA)
300 MOUNT AUBURN ST, Cambridge, MA 02138
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Accepted Insurance

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

Andrew Dallahan Donnelly Np-c 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 ID345529863
PECOS Enrollment IDI20161128000113
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02138 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$3.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$68.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$33.20 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 20

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

DR. MARGARET LOVE MCLAUGHLIN M.D.
Internal Medicine (Nephrology)
300 MOUNT AUBURN ST, SUITE 515
CAMBRIDGE, MA 02138
Middlesex County (617) 864-1571
RODERICK H CROCKER JR. MD
Urology
300 MOUNT AUBURN ST, STE 519
CAMBRIDGE, MA 02138
Middlesex County (617) 547-4400
DR. THOMAS CAUGHEY MD
Internal Medicine (Hematology & Oncology)
300 MOUNT AUBURN ST, HEMA/ONC
CAMBRIDGE, MA 02138
Middlesex County (617) 497-9646
MISS JOANNE BRUNY NP
Nurse Practitioner (Family)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3500
CAMBRIDGE OTOLARYNGOLOGY
Otolaryngology
300 MOUNT AUBURN ST, SUITE 308
CAMBRIDGE, MA 02138
Middlesex County (617) 354-1010
KAREN L AHLERT M.D.
Surgery
300 MOUNT AUBURN ST, SUITE 407
CAMBRIDGE, MA 02138
Middlesex County (617) 868-7456
DR. SHILPA JOSHI DESAI MD
Ophthalmology
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-5571
DR. JULIO C. AYALA MD
Internal Medicine (Gastroenterology)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-0026

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 Andrew Donnelly's NPI number?

The NPI number for Andrew Donnelly is 1578017497. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Andrew Donnelly located?

Andrew Donnelly practices at 300 Mount Auburn St Suite 517, Cambridge, MA 02138. The listed phone number is (617) 868-0847.

What is Andrew Donnelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrew Donnelly enrolled in Medicare?

Yes. Andrew Donnelly 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 Andrew Donnelly accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Andrew Donnelly 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 Andrew Donnelly affiliated with any hospitals?

According to CMS data, Andrew Donnelly is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Andrew Donnelly was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.