DR. MARK JAMES DONOVAN D.C.
NPI 1629217633
Chiropractor in Fond Du Lac, WI

Active since February 13, 2009PECOS EnrolledAccepts Medicare Assignment
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7000 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Dec 7, 2021 (2 updates tracked since 2021).

About Dr. Mark James Donovan D.c. NPPES

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

DR. MARK JAMES DONOVAN D.C. (NPI 1629217633) is an individual chiropractor in Fond Du Lac, Wisconsin, licensed in Wisconsin (4476-12) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Logan College Of Chiropractic (2008).

NPPES Registry Identity

NPI1629217633
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK JAMES DONOVANCredential: D.C.
Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999
Mailing Address210 Wisconsin American DrFond Du Lac, WI 54937-2999 · (920) 907-7000
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2008
Enumeration DateFebruary 13, 2009
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1629217633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 4476-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

Accepted 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

Dr. Mark James Donovan D.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 ID7214084268
PECOS Enrollment IDI20090409000310
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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
298 services35 patients

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.

Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Psychiatry & Neurology (Neurology)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937

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 Mark Donovan's NPI number?

The NPI number for Mark Donovan is 1629217633. It was assigned to this individual provider in the NPPES registry on February 13, 2009.

Where is Mark Donovan located?

Mark Donovan practices at 210 Wisconsin American Dr, Fond Du Lac, WI 54937. The listed phone number is (920) 907-7000.

What is Mark Donovan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mark Donovan enrolled in Medicare?

Yes. Mark Donovan 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 Mark Donovan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 2 other insurers list Mark Donovan 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 Mark Donovan was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.