BRIAN PATRICK DONOHOE
NPI 1669978862
Family Medicine - Sports Medicine in Santa Monica, CA

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
97.24/100
CMS Quality Rating
1920 COLORADO AVE, SANTA MONICA, CA 90404(310) 319-4700 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Jul 26, 2021 (2 updates tracked since 2021).

About Brian Patrick Donohoe NPPES

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

BRIAN PATRICK DONOHOE (NPI 1669978862) is an individual sports medicine provider in Santa Monica, California, licensed in California (A165462) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669978862
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBRIAN PATRICK DONOHOE
Location Address1920 COLORADO AVESanta Monica, CA 90404-3414
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1669978862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in CA · A165462
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A165462 (CA)
1920 COLORADO AVE, Santa Monica, CA 90404

Secondary Practice Location 1

Location 11225 15th St Ste 2100Santa Monica, CA 90404-1101 · Phone (310) 319-1234

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

Brian Patrick Donohoe 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 ID6204257579
PECOS Enrollment IDI20210511001124
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 12

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
7,812 services76 patients
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
4,704 services52 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
554 services84 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
290 services120 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.
287 services159 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
178 services178 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

97.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.94
Promoting Interoperability100
Improvement Activities40
Cost64.7

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.

Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Psychologist (Clinical)
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404

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 Brian Donohoe's NPI number?

The NPI number for Brian Donohoe is 1669978862. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Brian Donohoe located?

Brian Donohoe practices at 1920 Colorado Ave, Santa Monica, CA 90404. The listed phone number is (310) 319-4700.

What is Brian Donohoe's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brian Donohoe enrolled in Medicare?

Yes. Brian Donohoe 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 Brian Donohoe was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.