MICHAEL A DONNELLY DO FACOS
NPI 1831107671
Urology in Beloit, WI

Q: What is Michael Donnelly's NPI number?

The NPI number for Michael Donnelly is 1831107671. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Michael Donnelly's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Donnelly was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 04, 2006PECOS EnrolledAccepts Medicare Assignment

73.05/100

CMS Quality Rating

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511(608) 364-2200(608) 364-2705 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael A Donnelly Do Facos NPPES

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

MICHAEL A DONNELLY DO FACOS (NPI 1831107671) is an individual urology provider in Beloit, Wisconsin, licensed in Wisconsin (33488021) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1986).

NPPES Registry Identity

NPI1831107671

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMICHAEL A DONNELLYCredential: DO FACOS

Location Address1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.Beloit, WI 53511-1842

Mailing Address1905 E. Huebbe Parkway, Beloit Health System Inc.Beloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 364-2705

Phone(608) 364-2200

Fax(608) 364-2705

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1986

Enumeration DateAugust 4, 2006

Last NPPES UpdateOctober 19, 2011

✔ NPI 1831107671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in WI · 33488021✔ Licensed in IL · 036-075916

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1905 E. HUEBBE PARKWAY, Beloit, WI 53511

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Other Identifiers 4

Medicare UPINF08657

Other10631Dean Health Plan Hmo

Medicare PIN543300087WI

Medicaid1831107671WI

Accepted Insurance

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

Michael A Donnelly Do Facos 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 ID6800984725

PECOS Enrollment IDI20100109000258, I20110211000946

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 13

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 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.

358 services260 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.

148 services116 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

57 services47 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

44 services44 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services31 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.

28 services19 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

22 services22 patients

Placement of device in prostate for radiation therapy 55876

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

22 services22 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

18 services18 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.

18 services18 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

17 services17 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

16 services16 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.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520100

Location1969 W Hart RdBeloit, WI 53511 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

73.05/100

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

Scored as part of a group practice

Quality

58.79

Promoting Interoperability

100

Improvement Activities

Cost

51.38

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

5 suppliers27 claims5,550 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

6 suppliers41 claims9,070 services$5.20 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers15 claims33 services$9.37 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.

VIJAYA SOMARAJU M.D.

Internal Medicine (Infectious Disease)

1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511

Rock County (608) 364-2240

STEVEN S. YANG M.D.

Internal Medicine (Gastroenterology)

1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-1460

WILLIAM M FITZGERALD II MD

Internal Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA M. POPLAWSKA GOETZEN MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2410

DR. JACK-KY WANG MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC
BELOIT, WI 53511

Rock County (608) 364-2410

ALAN J REHBEIN OD

Optometrist

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA E TAVERAS MD

Internal Medicine (Cardiovascular Disease)

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2400

DR. CHRISTEL TECARRO MD.

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2240

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 Michael Donnelly's NPI number?

The NPI number for Michael Donnelly is 1831107671. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Michael Donnelly located?

Michael Donnelly practices at 1905 E. Huebbe Parkway Beloit Health System Inc., Beloit, WI 53511. The listed phone number is (608) 364-2200.

What is Michael Donnelly's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Donnelly enrolled in Medicare?

Yes. Michael 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 Michael Donnelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Michael 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 Michael Donnelly affiliated with any hospitals?

According to CMS data, Michael Donnelly is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Michael Donnelly was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.