DR. KEVIN JOHN DONOVAN MD
NPI 1578123097
Family Medicine in Hayward, WI

Q: What is Kevin Donovan's NPI number?

The NPI number for Kevin Donovan is 1578123097. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Kevin Donovan'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 Kevin Donovan was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 17, 2019PECOS Enrolled

67.86/100

CMS Quality Rating

11040 N STATE RD 77, HAYWARD, WI 54843(715) 934-4829(715) 934-4273 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2023, May 17, 2023, Jul 29, 2022 and 1 more (4 updates tracked since 2019).

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About Dr. Kevin John Donovan Md NPPES

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

DR. KEVIN JOHN DONOVAN MD (NPI 1578123097) is an individual family medicine provider in Hayward, Wisconsin, licensed in Alabama (MD.44664) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578123097

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KEVIN JOHN DONOVANCredential: MD

Location Address11040 N STATE RD 77Hayward, WI 54843-3606

Mailing Address11040 N State Rd 77Hayward, WI 54843-3606 · (715) 934-4829 · Fax (715) 934-4273

Phone(715) 934-4829

Fax(715) 934-4273

Sole ProprietorNo

Enumeration DateJune 17, 2019

Last NPPES UpdateAugust 17, 20234 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1578123097 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 AL · MD.44664

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 MD.44664 (AL)

11040 N STATE RD 77, Hayward, WI 54843

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin John Donovan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

67.86/100

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

Scored as part of a group practice

Quality

52.35

Promoting Interoperability

Improvement Activities

Cost

49.68

Other Providers at the Same Location NPPES 13

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

AMY MARIE HANSEN FNP-C

Nurse Practitioner (Primary Care)