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

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: October 25, 2026.

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

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 and maintains a secondary practice location in Hartselle.

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
Open in Google Maps ↗

Secondary Practice Location 1

Location 11549 Highway 31 NWHartselle, AL 35640-4431 · Phone (256) 735-5920 · Fax (256) 678-7710

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Donovan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Services, Inc
Same address
Critical Access
11040 N STATE ROAD 77
Hayward, WI 54843
  • Reassigned Medicare billing, Wisconsin enrollment
  • 104 clinicians in this Medicare group
NPI 1912992827 (715) 934-4321
Memorial Medical Center Inc
38 mi
Critical Access
1615 MAPLE LN
Ashland, WI 54806
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 clinicians in this Medicare group
NPI 1437179231 (715) 685-5500

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 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
Quality52.35
Promoting Interoperability89
Improvement Activities40
Cost49.68

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)
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4910
SABRINA ANN DUNLAP MD
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4910
MATTHEW FLESHER DPT
Physical Therapist
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4321
KELLAN BRETT KLUBBEN MD
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4910
ALLISON FARLEY PHARMD
Pharmacist
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4230
DR. CYNTHIA M. HART MD
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4970
JORDAN SMITH
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4910
LAURA MURPHY M.D.
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Sawyer County (715) 934-4910

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 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.

Where is Kevin Donovan located?

Kevin Donovan practices at 11040 N State Rd 77, Hayward, WI 54843. The listed phone number is (715) 934-4829.

What is Kevin Donovan's specialty?

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

Is Kevin Donovan enrolled in Medicare?

Yes. Kevin Donovan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Donovan reassigns Medicare benefits to 2 organizations: Medical Services, Inc (Hayward, WI) and Memorial Medical Center Inc (Ashland, WI). Each 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 Kevin Donovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.