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MR. JOHN WILLIAM DONEY N.P.
NPI 1861768178
Nurse Practitioner - Adult Health in Plymouth, MA

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
275 SANDWICH ST, PLYMOUTH, MA 02360(413) 531-2960 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John William Doney N.p. NPPES

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

MR. JOHN WILLIAM DONEY N.P. (NPI 1861768178) is an individual adult health provider in Plymouth, Massachusetts, licensed in Massachusetts (RN2266074) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861768178
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JOHN WILLIAM DONEYCredential: N.P.
Location Address275 SANDWICH STPlymouth, MA 02360-2183
Mailing Address142 Pine StCambridge, MA 02139-2722 · (413) 531-2960
Phone(413) 531-2960
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2012
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1861768178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN2266074
Also ListedRegistered NurseTaxonomy 163W00000X · License RN 2266074 (MA)
275 SANDWICH ST, Plymouth, MA 02360
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mr. John William Doney N.p. 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 ID4880847300
PECOS Enrollment IDI20130114000124
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 4

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.
653 services257 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.
193 services108 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.
19 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services11 patients

Hospital Affiliations CMS Care Compare

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

MISS ALEXANDRA STORB KIMBALL OTR/L
Occupational Therapist
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 732-8700
COREY SIGNS CNM
Advanced Practice Midwife
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000
PATRICK LINEHAN CRNA
Nurse Anesthetist, Certified Registered
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 830-2113
DR. IRINA GUREVICH M.D.
Internal Medicine (Hematology & Oncology)
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
Plymouth County (508) 830-2390
DR. EDGAR HENRY BALLENAS M.D.
General Acute Care Hospital (Rural)
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 830-2800
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
Psychiatric Unit
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000
CHRISTINA LIQUORI FNP-C
Nurse Practitioner (Family)
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000
MS. EMILY ANN BUMPUS
Physician Assistant
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000

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 John Doney's NPI number?

The NPI number for John Doney is 1861768178. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is John Doney located?

John Doney practices at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (413) 531-2960.

What is John Doney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is John Doney enrolled in Medicare?

Yes. John Doney 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 John Doney accept?

Health plans from Anthem Blue Cross and Blue Shield list John Doney 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 John Doney affiliated with any hospitals?

According to CMS data, John Doney is affiliated with Beth Israel Deaconess Hospital Plymouth.

When was this NPI record last updated?

The NPPES record for John Doney was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.