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KENNETH WAYNE DONOVAN M.D.
NPI 1669447207
Internal Medicine in Essex, CT

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
35 SAYBROOK RD, UNIT 6, ESSEX, CT 06426(860) 358-3725(860) 358-3726 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, May 1, 2024 (2 updates tracked since 2024).

About Kenneth Wayne Donovan M.d. NPPES

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

KENNETH WAYNE DONOVAN M.D. (NPI 1669447207) is an individual internal medicine provider in Essex, Connecticut, licensed in Connecticut (042916) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1997).

NPPES Registry Identity

NPI1669447207
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH WAYNE DONOVANCredential: M.D.
Location Address35 SAYBROOK RD, UNIT 6Essex, CT 06426-1490
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-6000 · Fax (860) 358-8661
Phone(860) 358-3725
Fax(860) 358-3726
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1997
Enumeration DateFebruary 17, 2006
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1669447207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 042916✔ Licensed in RI · MD12478
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.
35 SAYBROOK RD, Essex, CT 06426
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Other Identifiers 1

Medicaid001429168CT

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

Kenneth Wayne Donovan M.d. 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 ID4981653714
PECOS Enrollment IDI20050119000079, I20080318000712
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06426 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%201 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.

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.

MICHAELA RUSSELL
Nurse Practitioner
35 SAYBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0168
SUNFLOWER DEVELOPMENTAL PEDIATRICS
Pediatrics (Developmental - Behavioral Pediatrics)
35 SAYBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 365-9300

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 Kenneth Donovan's NPI number?

The NPI number for Kenneth Donovan is 1669447207. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Kenneth Donovan located?

Kenneth Donovan practices at 35 Saybrook Rd Unit 6, Essex, CT 06426. The listed phone number is (860) 358-3725.

What is Kenneth Donovan's specialty?

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

Is Kenneth Donovan enrolled in Medicare?

Yes. Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Donovan was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.