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DR. DARRELL LEE DONLEY M.D.
NPI 1669552824
Internal Medicine in Waynesburg, PA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1135 8TH ST, WAYNESBURG, PA 15370(724) 627-3379(724) 627-5107 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Jan 9, 2021, Oct 18, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Darrell Lee Donley M.d. NPPES

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

DR. DARRELL LEE DONLEY M.D. (NPI 1669552824) is an individual internal medicine provider in Waynesburg, Pennsylvania, licensed in Pennsylvania (MD063144L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of West Virginia University School Of Medicine (1995).

NPPES Registry Identity

NPI1669552824
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DARRELL LEE DONLEYCredential: M.D.
Location Address1135 8TH STWaynesburg, PA 15370-1600
Mailing Address1135 8th StWaynesburg, PA 15370-1600 · (724) 627-3379 · Fax (724) 627-5107
Phone(724) 627-3379
Fax(724) 627-5107
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1995
Enumeration DateOctober 16, 2006
Last NPPES UpdateSeptember 15, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1669552824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD063144L
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.
1135 8TH ST, Waynesburg, PA 15370
Open in Google Maps ↗

Other Identifiers 2

Other550492006Tax Id#
Medicaid001694452PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Darrell Lee Donley 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 ID5193777597
PECOS Enrollment IDI20050505000250
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 9

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 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.
561 services303 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
258 services258 patients
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.
167 services118 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
99 services97 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
76 services76 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Washington Health System Greene

Acute Care Hospitals · Waynesburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390150
Location350 Bonar AvenueWaynesburg, PA 15370 · Greene County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15370 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers64 claims96 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims19 services$0.95 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.66 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$1.51 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers22 claims22 services$42.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$113.61 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 4

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

DR. STEPHANIE ANN HANCHECK DDS
Dentist (General Practice)
1135 8TH ST
WAYNESBURG, PA 15370
Greene County (724) 852-1617
JAMI LEE KRULL
Physician Assistant (Medical)
1135 8TH ST
WAYNESBURG, PA 15370
Greene County (724) 322-8431
DR. BRUCE VICKERS SHIPE D.D.S.
Dentist (General Practice)
1135 8TH ST
WAYNESBURG, PA 15370
Greene County (724) 852-1617
DARRELL L. DONLEY, M.D.
Internal Medicine
1135 8TH ST
WAYNESBURG, PA 15370
Greene County (724) 627-3379

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 Darrell Donley's NPI number?

The NPI number for Darrell Donley is 1669552824. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Darrell Donley located?

Darrell Donley practices at 1135 8th St, Waynesburg, PA 15370. The listed phone number is (724) 627-3379.

What is Darrell Donley's specialty?

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

Is Darrell Donley enrolled in Medicare?

Yes. Darrell Donley 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 Darrell Donley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Darrell Donley 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 Darrell Donley affiliated with any hospitals?

According to CMS data, Darrell Donley is affiliated with Uniontown Hospital, Washington Hospital, The, Washington Health System Greene and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Darrell Donley was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.