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DONELLE L RHOADS M.D.
NPI 1912976531
Surgery in West Chester, PA

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
915 OLD FERN HILL RD, BUILDING B, SUITE 201, WEST CHESTER, PA 19380(610) 436-6696(610) 430-6023 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donelle L Rhoads M.d. NPPES

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

DONELLE L RHOADS M.D. (NPI 1912976531) is an individual surgery provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD065529L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Temple University School Of Medicine (1995).

NPPES Registry Identity

NPI1912976531
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDONELLE L RHOADSCredential: M.D.
Location Address915 OLD FERN HILL RD, BUILDING B, SUITE 201West Chester, PA 19380-4269
Mailing Address915 Old Fern Hill Rd, Building B, Suite 201West Chester, PA 19380-4269 · (610) 436-6696 · Fax (610) 430-6023
Phone(610) 436-6696
Fax(610) 430-6023
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1995
Enumeration DateMarch 16, 2006
Last NPPES UpdateJanuary 18, 2011
✔ NPI 1912976531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD065529L
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.
915 OLD FERN HILL RD, West Chester, PA 19380
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Other Identifiers 3

Medicare ID-Type Unspecified038352M10PA
Medicare UPINH17145PA
Medicaid0018036000003PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donelle L Rhoads 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 ID2365479425
PECOS Enrollment IDI20100709000111
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 Donelle Rhoads reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Care Associates Of The University Of Pennsylvania Health
0.8 mi
Hepatology
701 E MARSHALL ST
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 983 clinicians in this Medicare group
NPI 1396416251 (610) 431-5000

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 9

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.
173 services126 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.
106 services78 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.
83 services45 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.
71 services71 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.
58 services58 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.
49 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers14 claims386 services$4.92 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.

DR. DONALD H ANDERSEN M.D.
Urology
915 OLD FERN HILL RD, BLDG., B SUITE 202
WEST CHESTER, PA 19380
Chester County (610) 692-4270
KAREN WOOD CRNP
Nurse Practitioner
915 OLD FERN HILL RD, BLDG D, SUITE 600
WEST CHESTER, PA 19380
Chester County (610) 692-3434
DR. THERESA MUSHENO FEENEY DPT
Physical Therapist
915 OLD FERN HILL RD, BUILDING A, SUITE 4
WEST CHESTER, PA 19380
Chester County (610) 738-2480
MRS. COLLEEN M DIBERNARDO M.S.P.T.
Physical Therapist
915 OLD FERN HILL RD, SUITE 4
WEST CHESTER, PA 19380
Chester County (610) 738-2480
CHRISTOPHER L BALDI DO
Internal Medicine (Cardiovascular Disease)
915 OLD FERN HILL RD, BLDG. A SUITE 5
WEST CHESTER, PA 19380
Chester County (610) 696-2850
ROBERT P LISS MD
Ophthalmology
915 OLD FERN HILL RD, BUILDING B STE 200
WEST CHESTER, PA 19380
Chester County (610) 696-1230
MATTHEW J SCHAEDLER O.D.
Optometrist
915 OLD FERN HILL RD, BUILDING B, SUITE 200
WEST CHESTER, PA 19380
Chester County (610) 696-1230
DR. RICHARD F. CHALFIN M.D.
Internal Medicine
915 OLD FERN HILL RD, FERN HILL CAMPUS-BUILDING A-SUITE 3
WEST CHESTER, PA 19380
Chester County (610) 738-2450

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 Donelle Rhoads's NPI number?

The NPI number for Donelle Rhoads is 1912976531. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Donelle Rhoads located?

Donelle Rhoads practices at 915 Old Fern Hill Rd Building B, Suite 201, West Chester, PA 19380. The listed phone number is (610) 436-6696.

What is Donelle Rhoads's specialty?

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

Is Donelle Rhoads enrolled in Medicare?

Yes. Donelle Rhoads 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.

Which organization bills Medicare for Donelle Rhoads's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donelle Rhoads reassigns Medicare benefits to Clinical Care Associates Of The University Of Pennsylvania Health (West Chester, PA). 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 Donelle Rhoads's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donelle Rhoads accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Donelle Rhoads 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 Donelle Rhoads affiliated with any hospitals?

According to CMS data, Donelle Rhoads is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Donelle Rhoads was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.