STEPHEN LOUIS DONA DO
NPI 1649257536
Urology in Centerville, OH

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
50.19/100
CMS Quality Rating
8934 KINGSRIDGE DR, SUITE 102, CENTERVILLE, OH 45458(937) 439-6242(937) 439-6245 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Louis Dona Do NPPES

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

STEPHEN LOUIS DONA DO (NPI 1649257536) is an individual urology provider in Centerville, Ohio, licensed in Ohio (34 004752) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1980).

NPPES Registry Identity

NPI1649257536
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSTEPHEN LOUIS DONACredential: DO
Location Address8934 KINGSRIDGE DR, SUITE 102Centerville, OH 45458-1633
Mailing Address8934 Kingsridge Dr, Suite 102Centerville, OH 45458-1626 · (937) 439-6242 · Fax (937) 439-6245
Fax(937) 439-6245
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1980
Enumeration DateDecember 30, 2005
Last NPPES UpdateDecember 13, 2011
NPI 1649257536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OH · 34 004752
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
8934 KINGSRIDGE DR, Centerville, OH 45458

Other Identifiers 3

Medicaid0741960OH
Medicare PINDO0633271OH
Medicare UPINE36524

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

Stephen Louis Dona Do 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 ID4981689650
PECOS Enrollment IDI20110114000737
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 17

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.
458 services288 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
284 services208 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
260 services166 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
148 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
145 services120 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
109 services73 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45458 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

50.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality33.67
Improvement Activities40
Cost18.44

Reported Quality Measures

Colorectal Cancer Screening
2%247 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
31%128 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
42%1,164 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%433 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 49% · 207 patients
43%207 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 386 patients
Patients totalRate: 2% · 386 patients
2%386 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims930 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers36 claims2,340 services$1.60 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims750 services$5.27 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 2

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

Clinic/Center (Adult Day Care)
8934 KINGSRIDGE DR
DAYTON, OH 45458
Urology (Pediatric Urology)
8934 KINGSRIDGE DR, STE 102
CENTERVILLE, OH 45458

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 Stephen Dona's NPI number?

The NPI number for Stephen Dona is 1649257536. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Stephen Dona located?

Stephen Dona practices at 8934 Kingsridge Dr Suite 102, Centerville, OH 45458. The listed phone number is (937) 439-6242.

What is Stephen Dona's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stephen Dona enrolled in Medicare?

Yes. Stephen Dona 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 Stephen Dona accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Stephen Dona 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 Stephen Dona affiliated with any hospitals?

According to CMS data, Stephen Dona is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Stephen Dona was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.