DR. DONALD B MIDDLETON MD
NPI 1609815299
Internal Medicine in Pittsburgh, PA

Q: What is Donald Middleton's NPI number?

The NPI number for Donald Middleton is 1609815299. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Donald Middleton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Middleton was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 06, 2006PECOS EnrolledAccepts Medicare Assignment

78.53/100

CMS Quality Rating

3937 BUTLER ST, PITTSBURGH, PA 15201(412) 622-7343(412) 621-8235 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Donald B Middleton Md NPPES

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

DR. DONALD B MIDDLETON MD (NPI 1609815299) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD020718E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1972).

NPPES Registry Identity

NPI1609815299

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. DONALD B MIDDLETONCredential: MD

Location Address3937 BUTLER STPittsburgh, PA 15201-3222

Mailing Address139 1st StOakmont, PA 15139-2156 · (412) 596-0944

Phone(412) 622-7343

Fax(412) 621-8235

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1972

Enumeration DateJune 6, 2006

Last NPPES UpdateDecember 22, 2020

NPPES CertifiedDecember 22, 2020

✔ NPI 1609815299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD020718E

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License MD020718E (PA)

3937 BUTLER ST, Pittsburgh, PA 15201

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Other Identifiers 2

Medicaid0006328020007PA

Other022093PA · Highmark

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. Donald B Middleton Md 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 ID6305734567

PECOS Enrollment IDI20040309000523

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

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.

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.

14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15201 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

78.53/100

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

Scored as part of a group practice

Quality

74.61

Promoting Interoperability

100

Improvement Activities

Cost

53.82

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. NADINE CHAMPSI MD

Student in an Organized Health Care Education/Training Program