DR. TERRY L DONAT MD
NPI 1891760385
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Sterling, IL

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
82.57/100
CMS Quality Rating
101 E MILLER RD, STERLING, IL 61081(815) 625-4790(815) 632-5845 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Terry L Donat Md NPPES

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

DR. TERRY L DONAT MD (NPI 1891760385) is an individual otolaryngology/facial plastic surgery provider in Sterling, Illinois, licensed in Illinois (036103262) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains a secondary practice location in Crystal Lake.

NPPES Registry Identity

NPI1891760385
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. TERRY L DONATCredential: MD
Location Address101 E MILLER RDSterling, IL 61081-1252
Mailing Address101 E Miller RdSterling, IL 61081-1252 · (815) 625-4790 · Fax (630) 324-7137
Fax(815) 632-5845
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1991
Enumeration DateFebruary 20, 2006
Last NPPES UpdateMay 15, 2026
NPPES CertifiedMay 15, 2026
NPI 1891760385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in IL · 036103262
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 036103262 (IL)
101 E MILLER RD, Sterling, IL 61081

Secondary Practice Location 1

Location 1875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500

Other Identifiers 1

Medicaid036103262IL

Accepted 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

Dr. Terry L Donat Md 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 ID1850292913
PECOS Enrollment IDI20040127000131
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 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 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.
122 services91 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.
61 services61 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
34 services31 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
26 services21 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.
20 services20 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

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.

82.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.59
Promoting Interoperability92
Improvement Activities40
Cost58.04

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.

Otolaryngology (Sleep Medicine)
101 E MILLER RD
STERLING, IL 61081
Midwife
101 E MILLER RD
STERLING, IL 61081
Internal Medicine (Infectious Disease)
101 E MILLER RD
STERLING, IL 61081
Dietitian, Registered
101 E MILLER RD
STERLING, IL 61081
Specialist
101 E MILLER RD
STERLING, IL 61081
Nurse Practitioner
101 E MILLER RD
STERLING, IL 61081
Dietitian, Registered
101 E MILLER RD
STERLING, IL 61081
Nurse Practitioner
101 E MILLER RD
STERLING, IL 61081

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 Terry Donat's NPI number?

The NPI number for Terry Donat is 1891760385. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Terry Donat located?

Terry Donat practices at 101 E Miller Rd, Sterling, IL 61081. The listed phone number is (815) 625-4790.

What is Terry Donat's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Terry Donat enrolled in Medicare?

Yes. Terry Donat 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 Terry Donat accept?

Health plans from MercyCare Health Plans list Terry Donat 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 Terry Donat affiliated with any hospitals?

According to CMS data, Terry Donat is affiliated with Fhn Memorial Hospital and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Terry Donat was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.