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ROBERT A DONOHUE III MD
NPI 1659385144
Ophthalmology in Hamilton, NJ

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1262 WHITEHORSE HAMILTON SQUARE RD, STE 2B, HAMILTON, NJ 08690(609) 585-9595(609) 585-9444 Get Directions Write a Review

NPPES record last updated: July 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert A Donohue Iii Md NPPES

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

ROBERT A DONOHUE III MD (NPI 1659385144) is an individual ophthalmology provider in Hamilton, New Jersey, licensed in New Jersey (MA049912) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1659385144
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROBERT A DONOHUE IIICredential: MD
Location Address1262 WHITEHORSE HAMILTON SQUARE RD, STE 2BHamilton, NJ 08690-3711
Mailing Address1262 Whitehorse Hamilton Square Rd, Ste 2bHamilton, NJ 08690-3711 · (609) 585-9595 · Fax (609) 585-9444
Phone(609) 585-9595
Fax(609) 585-9444
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 11, 2010
✔ NPI 1659385144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · MA049912
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1262 WHITEHORSE HAMILTON SQUARE RD, Hamilton, NJ 08690
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Other Identifiers 12

OtherF14593Phcs
Other1243732005Cigna
Other985408Phs
OtherF14593Healthnet
Other223486084Hmo Blue
OtherME5287Oxford
Other0209045000Keystone Amerihealth
OtherD0452274Independence Bcbs
Medicare ID-Type UnspecifiedD0452274
Other1435994United Healthcare
Medicare UPINE22023
Other57451Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Providence Health Plan.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

Robert A Donohue Iii 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 ID4981788981
PECOS Enrollment IDI20080229000275
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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
362 services360 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
293 services139 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
194 services190 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
59 services59 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
37 services23 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.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08690 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

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

PROGRESSIVE CENTER FOR INDEPENDENT LIVING, INC
Case Management
1262 WHITEHORSE HAMILTON SQUARE RD, BLDG A, SUITE 102
HAMILTON, NJ 08690
Mercer County (609) 581-4500

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 Robert Donohue's NPI number?

The NPI number for Robert Donohue is 1659385144. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Robert Donohue located?

Robert Donohue practices at 1262 Whitehorse Hamilton Square Rd Ste 2B, Hamilton, NJ 08690. The listed phone number is (609) 585-9595.

What is Robert Donohue's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Donohue enrolled in Medicare?

Yes. Robert Donohue 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 Robert Donohue accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Robert Donohue 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 Robert Donohue was last updated on July 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.