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DR. JILLIAN ROSE DONNELLY D.O.
NPI 1881030245
Urology in Ardsley, NY

Active since May 13, 2013PECOS Enrolled
100/100
CMS Quality Rating
1 MILL RIVER LN APT 105, ARDSLEY, NY 10502(914) 879-9889 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2019, Jul 20, 2018, Jun 25, 2018 (3 updates tracked since 2018).

About Dr. Jillian Rose Donnelly D.o. NPPES

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

DR. JILLIAN ROSE DONNELLY D.O. (NPI 1881030245) is an individual urology provider in Ardsley, New York, licensed in New York (300483) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Durango.

NPPES Registry Identity

NPI1881030245
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. JILLIAN ROSE DONNELLYCredential: D.O.
Location Address1 MILL RIVER LN APT 105Ardsley, NY 10502
Mailing AddressPo Box 911057Denver, CO 80291-1057 · (888) 269-7001 · Fax (303) 764-6640
Phone(914) 879-9889
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 13, 2013
Last NPPES UpdateAugust 20, 20193 updates tracked since enumeration
✔ NPI 1881030245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NY · 300483✔ Licensed in CO · DR.0061017
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.
1 MILL RIVER LN APT 105, Ardsley, NY 10502
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Other Names 1

Former Name (1)Jillian Rose Scambia D.o.

Secondary Practice Location 1

Location 11010 Three Springs Blvd Ste 270Durango, CO 81301 · Phone (970) 764-3845 · Fax (970) 764-3823

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jillian Rose Donnelly D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092011452
PECOS Enrollment IDI20200909002221
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.

Medicare Billing Reassignment

Medicare enrollment records show Jillian Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
9.7 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
63 services49 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.
55 services55 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.
31 services25 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.
29 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
27 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services18 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10502 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Jillian Donnelly's NPI number?

The NPI number for Jillian Donnelly is 1881030245. It was assigned to this individual provider in the NPPES registry on May 13, 2013. The provider is also known as Jillian Rose Scambia D.O..

Where is Jillian Donnelly located?

Jillian Donnelly practices at 1 Mill River Ln Apt 105, Ardsley, NY 10502. The listed phone number is (914) 879-9889.

What is Jillian Donnelly's specialty?

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

Is Jillian Donnelly enrolled in Medicare?

Yes. Jillian Donnelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jillian Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Donnelly reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jillian Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jillian Donnelly affiliated with any hospitals?

According to CMS data, Jillian Donnelly is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Jillian Donnelly was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.