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TIMOTHY P. DONELAN MD
NPI 1730189325
Family Medicine in Sioux Falls, SD

Active since July 26, 2005PECOS Enrolled
76.69/100
CMS Quality Rating
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108(605) 332-2883(605) 328-1855 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy P. Donelan Md NPPES

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

TIMOTHY P. DONELAN MD (NPI 1730189325) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (3836) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730189325
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY P. DONELANCredential: MD
Location Address6110 S MINNESOTA AVESioux Falls, SD 57108-2549
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Phone(605) 332-2883
Fax(605) 328-1855
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1730189325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 3836
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6110 S MINNESOTA AVE, Sioux Falls, SD 57108
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Other Identifiers 1

Medicaid5608934SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy P. Donelan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

BRADLEY E. HRUBY MD
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
E. PAUL AMUNDSON MD
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
DONALD H. KNUDSON MD
Surgery
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-8690
WALLACE L FRITZ MD
Family Medicine
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
KRISTY ANDERSON CSW
Social Worker
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
KAITLYN SARAH ISAACSON CNP
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 328-5800
AMBER MARIE JOHNSON CNP
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 332-2883
JENNIFER LEIGH CYPHER
Nurse Practitioner (Family)
6110 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 332-2883

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 Timothy Donelan's NPI number?

The NPI number for Timothy Donelan is 1730189325. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Timothy Donelan located?

Timothy Donelan practices at 6110 S Minnesota Ave, Sioux Falls, SD 57108. The listed phone number is (605) 332-2883.

What is Timothy Donelan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Donelan enrolled in Medicare?

Yes. Timothy Donelan is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Donelan accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Timothy Donelan 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.

When was this NPI record last updated?

The NPPES record for Timothy Donelan was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.