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MICHAEL ADAM DONAWORTH M.D.
NPI 1679893648
Family Medicine - Sports Medicine in West Chester, OH

Active since June 01, 2010PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
7690 DISCOVERY DR, WEST CHESTER, OH 45069(513) 475-8690(513) 475-8629 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2019, Dec 5, 2017 (2 updates tracked since 2017).

About Michael Adam Donaworth M.d. NPPES

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

MICHAEL ADAM DONAWORTH M.D. (NPI 1679893648) is an individual sports medicine provider in West Chester, Ohio, licensed in Ohio (35-098801) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Cincinnati College Of Medicine (2010).

NPPES Registry Identity

NPI1679893648
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameMICHAEL ADAM DONAWORTHCredential: M.D.
Location Address7690 DISCOVERY DRWest Chester, OH 45069-6542
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5506
Phone(513) 475-8690
Fax(513) 475-8629
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2010
Enumeration DateJune 1, 2010
Last NPPES UpdateMarch 13, 20192 updates tracked since enumeration
✔ NPI 1679893648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in OH · 35-098801
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.
7690 DISCOVERY DR, West Chester, OH 45069
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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

Michael Adam Donaworth 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 ID8729205067
PECOS Enrollment IDI20140811002360
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 10

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 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.
154 services110 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.
145 services111 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
130 services66 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.
117 services117 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.
26 services17 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$51.36 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$73.46 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 20

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

KRISTEN ELIZABETH TENNEY AGCNS-BC
Colon & Rectal Surgery
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 558-5661
DR. REBECCA JACKSON HOWELL M.D.
Otolaryngology
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8400
NICOLE STILLS BA, MS
Social Worker (Clinical)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-7425
DR. NATHAN SHANE D.P.M.
Podiatrist
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8690
CHARLES R HATTEMER MD
Internal Medicine (Interventional Cardiology)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8521
DR. COURTNEY ANN PLATTNER M.D.
Urology
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8787
CONNIE WAGENKNECHT NP
Nurse Practitioner (Adult Health)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 458-4850
JASON ERNST
Physician Assistant (Medical)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8690

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 Michael Donaworth's NPI number?

The NPI number for Michael Donaworth is 1679893648. It was assigned to this individual provider in the NPPES registry on June 1, 2010.

Where is Michael Donaworth located?

Michael Donaworth practices at 7690 Discovery Dr, West Chester, OH 45069. The listed phone number is (513) 475-8690.

What is Michael Donaworth's specialty?

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

Is Michael Donaworth enrolled in Medicare?

Yes. Michael Donaworth 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 Michael Donaworth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Michael Donaworth 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 Michael Donaworth affiliated with any hospitals?

According to CMS data, Michael Donaworth is affiliated with University Of Cincinnati Medical Center, LLC, Mercy Health - Fairfield Hospital and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Michael Donaworth was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.