SARAH MARIA HILL DONOHUE M.D.
NPI 1730614520
Internal Medicine - Rheumatology in Madison, WI

Q: What is Sarah Maria Donohue's NPI number?

The NPI number for Sarah Maria Donohue is 1730614520. It was assigned to this individual provider in the NPPES registry on April 29, 2017.

Q: What is Sarah Maria Donohue's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since April 29, 2017PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

451 JUNCTION RD, MADISON, WI 53717(608) 263-7577 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2023, Jan 23, 2019, Apr 29, 2017 (3 updates tracked since 2017).

On this page

About Sarah Maria Hill Donohue M.d. NPPES

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

SARAH MARIA HILL DONOHUE M.D. (NPI 1730614520) is an individual rheumatology provider in Madison, Wisconsin, licensed in Wisconsin (70475) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730614520

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameSARAH MARIA HILL DONOHUECredential: M.D.

Location Address451 JUNCTION RDMadison, WI 53717-2656

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-7577

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 29, 2017

Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1730614520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in WI · 70475

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 70475 (WI)

451 JUNCTION RD, Madison, WI 53717

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Maria Hill Donohue 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 ID3870863095

PECOS Enrollment IDI20230911001655

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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Maria Donohue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc

2.3 mi

Multi-Specialty

7974 UW HEALTH COURT
Middleton, WI 53562

Reassigned Medicare billing, Wisconsin enrollment
2,832 clinicians in this Medicare group

NPI 1598784555 (608) 829-5485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

38 services17 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.

30 services15 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.

29 services23 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.

27 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

23 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

17 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

16 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520089

Location202 S Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

77.43/100

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

Scored as part of a group practice

Quality

81.83

Promoting Interoperability

Improvement Activities

Cost

62.12

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.

MRS. TERESA LYNN WOLFE PA

Physician Assistant (Medical)

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7670

DR. MARIAH A. QUINN M.D.

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7550

DR. YEW-XIN TEH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 263-5010

ABIGAIL M BALES MD

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-1600

UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Pharmacy

451 JUNCTION RD, SUITE 9901, ROOM 1191
MADISON, WI 53717

Dane County (608) 265-7070

ANNA HABERMEYER CNM

Nurse Practitioner

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7601

MRS. SHERRY XIONG NP

Nurse Practitioner

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 263-7577

DANIELA C CONSTANTINESCU MD

Internal Medicine

451 JUNCTION RD
MADISON, WI 53717

Dane County (608) 265-7550

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 Sarah Maria Donohue's NPI number?

The NPI number for Sarah Maria Donohue is 1730614520. It was assigned to this individual provider in the NPPES registry on April 29, 2017.

Where is Sarah Maria Donohue located?

Sarah Maria Donohue practices at 451 Junction Rd, Madison, WI 53717. The listed phone number is (608) 263-7577.

What is Sarah Maria Donohue's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sarah Maria Donohue enrolled in Medicare?

Yes. Sarah Maria 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.

Which organization bills Medicare for Sarah Maria Donohue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Maria Donohue reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Maria Donohue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Maria Donohue accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Sarah Maria Donohue 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 Sarah Maria Donohue affiliated with any hospitals?

According to CMS data, Sarah Maria Donohue is affiliated with Uw Health, Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Sarah Maria Donohue was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.