KEVIN DONNELLY M.D.
NPI 1790712388
Family Medicine in St Cloud, MN

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1301 33RD ST S, ST CLOUD, MN 56301(320) 251-8181(320) 251-6942 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Donnelly M.d. NPPES

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

KEVIN DONNELLY M.D. (NPI 1790712388) is an individual family medicine provider in St Cloud, Minnesota, licensed in Minnesota (39020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Missouri St Louis - School Of Optometry (1992).

NPPES Registry Identity

NPI1790712388
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN DONNELLYCredential: M.D.
Location Address1301 33RD ST SSt Cloud, MN 56301
Mailing Address251 County Road 120Saint Cloud, MN 56303-4872 · (320) 202-8949 · Fax (320) 202-0756
Fax(320) 251-6942
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1992
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 23, 2010
NPI 1790712388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 39020
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.
1301 33RD ST S, St Cloud, MN 56301

Other Identifiers 3

Medicare UPINF65090MN
Medicaid132525600MN
Medicare PIN080004897MN

Accepted Insurance

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

Kevin Donnelly 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 ID42295826
PECOS Enrollment IDI20100603000663
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 12

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.
292 services204 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.
228 services163 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.
205 services162 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.
190 services190 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services45 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
40 services37 patients

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56301 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers65 claims143 services$5.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims17 services$0.87 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$5.36 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers12 claims24 services$1.78 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims440 services$0.02 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers14 claims14 services$32.12 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 20

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

Nurse Practitioner (Family)
1301 33RD ST S
SAINT CLOUD, MN 56301
Nurse Practitioner (Family)
1301 33RD ST S
SAINT CLOUD, MN 56301
Physician Assistant (Medical)
1301 33RD ST S
SAINT CLOUD, MN 56301
Family Medicine
1301 33RD ST S
SAINT CLOUD, MN 56301
Family Medicine
1301 33RD ST S
SAINT CLOUD, MN 56301
Physician Assistant
1301 33RD ST S
SAINT CLOUD, MN 56301
Physician Assistant
1301 33RD ST S
SAINT CLOUD, MN 56301
Physical Therapist
1301 33RD ST S
SAINT CLOUD, MN 56301

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 Kevin Donnelly's NPI number?

The NPI number for Kevin Donnelly is 1790712388. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Kevin Donnelly located?

Kevin Donnelly practices at 1301 33rd St S, St Cloud, MN 56301. The listed phone number is (320) 251-8181.

What is Kevin Donnelly's specialty?

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

Is Kevin Donnelly enrolled in Medicare?

Yes. Kevin Donnelly 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.

What insurance does Kevin Donnelly accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kevin Donnelly 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 Kevin Donnelly affiliated with any hospitals?

According to CMS data, Kevin Donnelly is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Donnelly was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.