DR. BARRY S DONNER MD
NPI 1679534796
Internal Medicine - Gastroenterology in Laguna Hills, CA

Q: What is Barry Donner's NPI number?

The NPI number for Barry Donner is 1679534796. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Barry Donner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Barry Donner was last updated on December 15, 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.

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment

77.58/100

CMS Quality Rating

24221 CALLE DE LA LOUISA, SUITE 300, LAGUNA HILLS, CA 92653(949) 770-7163(949) 465-8159 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Sep 4, 2025, Aug 12, 2025 and 4 more (7 updates tracked since 2024).

On this page

About Dr. Barry S Donner Md NPPES

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

DR. BARRY S DONNER MD (NPI 1679534796) is an individual gastroenterology provider in Laguna Hills, California, licensed in California (G47680) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1679534796

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. BARRY S DONNERCredential: MD

Location Address24221 CALLE DE LA LOUISA, SUITE 300Laguna Hills, CA 92653-7638

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380

Phone(949) 770-7163

Fax(949) 465-8159

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateMarch 29, 2006

Last NPPES UpdateDecember 15, 20257 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1679534796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in CA · G47680✔ Licensed in TN · 71479✔ Licensed in IL · 036173168✔ Licensed in SC · 95440

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 71479 (TN)

24221 CALLE DE LA LOUISA, Laguna Hills, CA 92653

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121

Location 23 Richland Medical Park Dr Ste 120Columbia, SC 29203-6850 · Phone (803) 434-8866 · Fax (803) 933-3049

Location 310511 Golf Course Rd NW Ste 204Albuquerque, NM 87114-5917 · Phone (505) 727-7833

Location 41 Ingalls DrHarvey, IL 60426-3558 · Phone (888) 824-0200

Location 5130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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. Barry S Donner 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 ID4082682083

PECOS Enrollment IDI20080423000417, I20250320000619, I20250424002838, I20251211000076

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 16

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

168 services168 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.

165 services165 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

140 services65 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

83 services83 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.

75 services74 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

58 services58 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

53 services53 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

47 services23 patients

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.

44 services44 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

41 services41 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.

40 services39 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.

25 services25 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

23 services23 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

15 services15 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.

14 services14 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420018

Location5 Medical ParkColumbia, SC 29203 · Richland County

Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420086

Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

77.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

41.11

Promoting Interoperability

Improvement Activities

Cost

100

Reported Quality Measures

Breast Cancer Screening

2%514 patients1/55-star benchmark: 93%

Colorectal Cancer Screening

88%1,289 patients5/55-star benchmark: 88%

Controlling High Blood Pressure

29%501 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

74%2,161 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

7%954 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

27%186 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

3%1,668 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%129 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 89% · 478 patients

87%478 patients

Provide Patients Electronic Access to Their Health Information

67%446 patients2/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 1,010 patients

Patients totalRate: 4% · 1,010 patients

4%1,010 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 14

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

DR. KIMVIR S DHILLON MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 465-8145

DR. JAMES M TRENBEATH MD

Internal Medicine (Gastroenterology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 770-7163

CUONG PHU LY M.D.

Internal Medicine (Nephrology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 707-1059

DR. MARK D SHIELDS MD

Internal Medicine

24221 CALLE DE LA LOUISA, SUITE 200
LAGUNA HILLS, CA 92653

Orange County (949) 588-8700

SADDLEBACK MEDICAL GROUP INC

Internal Medicine (Gastroenterology)

24221 CALLE DE LA LOUISA, SUITE 400
LAGUNA HILLS, CA 92653

Orange County (949) 465-8155

DR. NATHANIEL DAT HO M.D.

Internal Medicine (Nephrology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 707-1059

CATHERINE BAO NGO M.D.

Internal Medicine (Gastroenterology)

24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

Orange County (949) 770-7163

DR. CECILIA H TRAN MD

Internal Medicine

24221 CALLE DE LA LOUISA, SUITE 200
LAGUNA HILLS, CA 92653

Orange County (949) 420-5980

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 Barry Donner's NPI number?

The NPI number for Barry Donner is 1679534796. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Barry Donner located?

Barry Donner practices at 24221 Calle De La Louisa Suite 300, Laguna Hills, CA 92653. The listed phone number is (949) 770-7163.

What is Barry Donner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Barry Donner enrolled in Medicare?

Yes. Barry Donner 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 Barry Donner accept?

Health plans from HealthPartners and Medica list Barry Donner 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 Barry Donner affiliated with any hospitals?

According to CMS data, Barry Donner is affiliated with St Cloud Hospital, Prisma Health Richland Hospital and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Barry Donner was last updated on December 15, 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.