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DONNA TWINING RN
NPI 1811912678
Clinical Nurse Specialist in Madison, WI

Active since July 13, 2006PECOS Enrolled
80.22/100
CMS Quality Rating
5249 E TERRACE DR, MADISON, WI 53718(608) 222-9777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donna Twining Rn NPPES

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

DONNA TWINING RN (NPI 1811912678) is an individual clinical nurse specialist in Madison, Wisconsin, licensed in Wisconsin (108023) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811912678
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameDONNA TWININGCredential: RN
Location Address5249 E TERRACE DRMadison, WI 53718-8339
Mailing Address1265 John Q Hammons DrMadison, WI 53717-1941 · (608) 251-4156 · Fax (608) 257-3842
Phone(608) 222-9777
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811912678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in WI · 108023
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
5249 E TERRACE DR, Madison, WI 53718
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Twining Rn 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.

Areas of Expertise CMS Part B claims 5

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 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.
175 services74 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
71 services39 patients
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.
54 services36 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.
32 services20 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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.

80.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability99
Improvement Activities40
Cost49.83

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers16 claims190 services$18.41 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers17 claims534 services$2.39 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims74 services$3.93 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers121 claims121 services$183.77 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.

MARCIA ANGELA BOLLES PA-C
Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
MS. RABECCA CATHERINE COLE LCSW
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
DR. NORANN RICHARD PHD
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550
DANIELLE OGNO MS
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Dane County (608) 265-1650
DR. DORTHEA LORINE WHEELER MD, PHD
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
LAUREN JERZAK FNP-BC, APNP
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 265-1200
MICHAEL N SKAREDOFF MD
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550

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 Donna Twining's NPI number?

The NPI number for Donna Twining is 1811912678. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Donna Twining located?

Donna Twining practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 222-9777.

What is Donna Twining's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Donna Twining enrolled in Medicare?

Yes. Donna Twining is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donna Twining was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.