DR. PAMELA SUZANNE DONETZ MD
NPI 1780753079
Family Medicine in Berkeley Heights, NJ

Q: What is Pamela Donetz's NPI number?

The NPI number for Pamela Donetz is 1780753079. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Pamela Donetz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pamela Donetz was last updated on May 28, 2024. 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.

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8683(908) 608-2378 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2019, Aug 13, 2019, Jun 5, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Pamela Suzanne Donetz Md NPPES

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

DR. PAMELA SUZANNE DONETZ MD (NPI 1780753079) is an individual family medicine provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA06317600) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1994).

NPPES Registry Identity

NPI1780753079

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PAMELA SUZANNE DONETZCredential: MD

Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(908) 277-8683

Fax(908) 608-2378

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1994

Enumeration DateNovember 8, 2006

Last NPPES UpdateMay 28, 20246 updates tracked since enumeration

NPPES CertifiedMay 28, 2024

✔ NPI 1780753079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NJ · 25MA06317600✔ Licensed in NY · 299216

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.

1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Pamela Suzanne Donetz Md 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 ID6204986755

PECOS Enrollment IDI20090604000268

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 Reassignments

Medicare enrollment records show Pamela Donetz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group PA

Same address

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

Advantagecare Physicians PC

16 mi

Internal Medicine

1050 CLOVE RD, UCC
Staten Island, NY 10301

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1063954113 (646) 680-1525

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 6

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 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.

116 services106 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.

79 services72 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 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.

16 services16 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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.

SILPA GADIRAJU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DR. JOHN H DOKKO DO

Internal Medicine (Nephrology)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DENISE RIZZOLO PA

Physician Assistant

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MARIA F DOMINGUEZ BERMEO MD

Family Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 219-6940

DR. LAWRENCE J NASTRO MD

Internal Medicine (Infectious Disease)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DEBRA A RYAN PT

Physical Therapist

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

CHRISTOPHER M BONI DO

Internal Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8683

LAUREN BARON P.A.

Physician Assistant (Medical)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8880

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 Pamela Donetz's NPI number?

The NPI number for Pamela Donetz is 1780753079. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Pamela Donetz located?

Pamela Donetz practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8683.

What is Pamela Donetz's specialty?

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

Is Pamela Donetz enrolled in Medicare?

Yes. Pamela Donetz 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 organizations bill Medicare for Pamela Donetz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Donetz reassigns Medicare benefits to 2 organizations: Summit Medical Group PA (Berkeley Heights, NJ) and Advantagecare Physicians PC (Staten Island, NY). Each 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 Pamela Donetz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Donetz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Pamela Donetz 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 Pamela Donetz was last updated on May 28, 2024. 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.