EDMUND J DONOVAN FNP
NPI 1689988297
Nurse Practitioner - Family in Middletown, NY

Active since August 06, 2010PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 11, 2020, Mar 6, 2019 (2 updates tracked since 2019).

About Edmund J Donovan Fnp NPPES

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

EDMUND J DONOVAN FNP (NPI 1689988297) is an individual family provider in Middletown, New York, licensed in New York (F336197) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689988297
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDMUND J DONOVANCredential: FNP
Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4057
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4057 · (845) 703-6999 · Fax (845) 703-6297
Fax(845) 703-6297
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 6, 2010
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1689988297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F336197
155 CRYSTAL RUN RD, Middletown, NY 10941

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

Edmund J Donovan Fnp 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 ID2860623675
PECOS Enrollment IDI20140320000354
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 18

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.

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
1,382 services300 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
1,171 services735 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
881 services552 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
308 services195 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.
293 services174 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.
164 services157 patients

Hospital Affiliations CMS Care Compare 2

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Garnet Health Medical Center Catskills

Acute Care Hospitals · Harris, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330386
Location68 Harris Bushville Road, P O Box 800Harris, NY 12742 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.71
Promoting Interoperability100
Improvement Activities40
Cost98.42

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.

Internal Medicine (Nephrology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Acute Care)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Pulmonary Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Family)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Endocrinology, Diabetes & Metabolism)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Infectious Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Psychiatry & Neurology (Psychiatry)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Radiology (Diagnostic Radiology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

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 Edmund Donovan's NPI number?

The NPI number for Edmund Donovan is 1689988297. It was assigned to this individual provider in the NPPES registry on August 6, 2010.

Where is Edmund Donovan located?

Edmund Donovan practices at 155 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-6999.

What is Edmund Donovan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edmund Donovan enrolled in Medicare?

Yes. Edmund Donovan 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 Edmund Donovan affiliated with any hospitals?

According to CMS data, Edmund Donovan is affiliated with Garnet Health Medical Center and Garnet Health Medical Center Catskills.

When was this NPI record last updated?

The NPPES record for Edmund Donovan was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.