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DONALD C. CARMICHAEL M.D.
NPI 1861406852
Surgery in Fishersville, VA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
70 MEDICAL CENTER CIR, SUITE 213, FISHERSVILLE, VA 22939(540) 245-7705(540) 245-7710 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald C. Carmichael M.d. NPPES

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

DONALD C. CARMICHAEL M.D. (NPI 1861406852) is an individual surgery provider in Fishersville, Virginia, licensed in Maryland (D0104903) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and is a graduate of George Washington University School Of Medicine (1986).

NPPES Registry Identity

NPI1861406852
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDONALD C. CARMICHAELCredential: M.D.
Location Address70 MEDICAL CENTER CIR, SUITE 213Fishersville, VA 22939
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710 · (301) 790-8380
Phone(540) 245-7705
Fax(540) 245-7710
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1986
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1861406852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MD · D0104903✔ Licensed in VA · 0101237460
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
70 MEDICAL CENTER CIR, Fishersville, VA 22939
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Other Identifiers 2

Other179225VA · Anthem
Medicaid010184819VA

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

Donald C. Carmichael 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 ID1456328483
PECOS Enrollment IDI20050719000359, I20251119003359
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.

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%159 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%332 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
58%332 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%332 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%332 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MELISSA R ROBINSON D.O.
Psychiatry & Neurology (Psychiatry)
70 MEDICAL CENTER CIR, SUITE 201
FISHERSVILLE, VA 22939
Augusta County (540) 221-7030
CARIE DANIEL BUCKLEY III MD
Urology
70 MEDICAL CENTER CIR, SUITE 208
FISHERSVILLE, VA 22939
Augusta County (540) 332-5926
ROBERT W BURKE PA-C
Physician Assistant (Medical)
70 MEDICAL CENTER CIR, SUITE 305
FISHERSVILLE, VA 22939
Augusta County (540) 932-5687
SHENANDOAH VALLEY NEUROLOGICAL ASSOCIATES
Psychiatry & Neurology (Neurology)
70 MEDICAL CENTER CIR
FISHERSVILLE, VA 22939
Augusta County (540) 932-5878
BLUE RIDGE UROLOGICAL ASSOC., PC
Urology
70 MEDICAL CENTER CIR, SUITE 208
FISHERSVILLE, VA 22939
Augusta County (540) 345-3556
GARY CHARLES MURRAY M.D.
Internal Medicine (Cardiovascular Disease)
70 MEDICAL CENTER CIR, SUITE 211
FISHERSVILLE, VA 22939
Augusta County (540) 932-5915
JACK F OTTENI M.D.
Orthopaedic Surgery
70 MEDICAL CENTER CIR, SUITE 110
FISHERSVILLE, VA 22939
Augusta County (540) 332-5850
JULIE A PLUMBLEY MD
Specialist
70 MEDICAL CENTER CIR, SUITE 309
FISHERSVILLE, VA 22939
Augusta County (540) 332-5885

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 Donald Carmichael's NPI number?

The NPI number for Donald Carmichael is 1861406852. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Donald Carmichael located?

Donald Carmichael practices at 70 Medical Center Cir Suite 213, Fishersville, VA 22939. The listed phone number is (540) 245-7705.

What is Donald Carmichael's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Donald Carmichael enrolled in Medicare?

Yes. Donald Carmichael 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.

Is Donald Carmichael affiliated with any hospitals?

According to CMS data, Donald Carmichael is affiliated with Meritus Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for Donald Carmichael was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.