MR. KENNETH WILLIAM DONOHUE PA
NPI 1679997316
Physician Assistant in Fishersville, VA

Active since February 18, 2014PECOS EnrolledAccepts Medicare Assignment
51 IVY RIDGE LN, FISHERSVILLE, VA 22939(540) 245-7262(540) 245-7054 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2023, Nov 13, 2019, Sep 20, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Kenneth William Donohue Pa NPPES

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

MR. KENNETH WILLIAM DONOHUE PA (NPI 1679997316) is an individual physician assistant in Fishersville, Virginia, licensed in Virginia (0110004489) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Augusta Health, and maintains a secondary practice location in Fishersville.

NPPES Registry Identity

NPI1679997316
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH WILLIAM DONOHUECredential: PA
Location Address51 IVY RIDGE LNFishersville, VA 22939-2339
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 932-5162 · Fax (540) 932-5875
Fax(540) 245-7054
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 18, 2014
Last NPPES UpdateAugust 11, 20234 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
NPI 1679997316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110004489
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
51 IVY RIDGE LN, Fishersville, VA 22939

Secondary Practice Location 1

Location 157 N Medical Park Dr Ste 105Fishersville, VA 22939-2353 · Phone (540) 245-7262 · Fax (540) 245-7054

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

Mr. Kenneth William Donohue Pa 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 ID6103058599
PECOS Enrollment IDI20141231000996
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
234 services94 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
220 services95 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
39%23 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,355 patients4/55-star benchmark: 99%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers29 claims29 services$54.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$16.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$85.59 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$21.11 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 8

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

Nurse Practitioner (Family)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Nurse Practitioner (Family)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Nurse Practitioner (Adult Health)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Internal Medicine (Hospice and Palliative Medicine)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Nurse Practitioner (Family)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Physician Assistant
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Nurse Practitioner (Acute Care)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Family Medicine (Geriatric Medicine)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939

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 Donohue's NPI number?

The NPI number for Kenneth Donohue is 1679997316. It was assigned to this individual provider in the NPPES registry on February 18, 2014.

Where is Kenneth Donohue located?

Kenneth Donohue practices at 51 Ivy Ridge Ln, Fishersville, VA 22939. The listed phone number is (540) 245-7262.

What is Kenneth Donohue's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Donohue enrolled in Medicare?

Yes. Kenneth Donohue 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.

Is Kenneth Donohue affiliated with any hospitals?

According to CMS data, Kenneth Donohue is affiliated with Augusta Health.

When was this NPI record last updated?

The NPPES record for Kenneth Donohue was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.