DR. DONALD J DENBY JR. M.D.
NPI 1912984972
Internal Medicine - Gastroenterology in Pensacola, FL

Q: What is Donald Denby's NPI number?

The NPI number for Donald Denby is 1912984972. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Donald Denby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Donald Denby was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

68.08/100

CMS Quality Rating

8333 N DAVIS HWY, PENSACOLA, FL 32514(850) 474-8428(850) 969-2906 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Donald J Denby Jr. M.d. NPPES

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

DR. DONALD J DENBY JR. M.D. (NPI 1912984972) is an individual gastroenterology provider in Pensacola, Florida, licensed in Florida (ME105582) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains a secondary practice location in Gulf Breeze.

NPPES Registry Identity

NPI1912984972

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. DONALD J DENBY JR.Credential: M.D.

Location Address8333 N DAVIS HWYPensacola, FL 32514-6050

Mailing Address8333 N Davis HwyPensacola, FL 32514-6050 · (850) 474-8428 · Fax (850) 969-2906

Phone(850) 474-8428

Fax(850) 969-2906

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1999

Enumeration DateDecember 29, 2005

Last NPPES UpdateApril 17, 2024

NPPES CertifiedApril 17, 2024

✔ NPI 1912984972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in FL · ME105582✔ Licensed in MO · 2000165890

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

8333 N DAVIS HWY, Pensacola, FL 32514

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Secondary Practice Location 1

Location 141 Fairpoint DrGulf Breeze, FL 32561-4396 · Phone (850) 474-8428 · Fax (850) 969-2906

Other Identifiers 4

Medicaid201013307MO

Other000010688Medicare Group Imi

OtherP00331399MO · Railroad Medicare

OtherCC7852MO · Rr Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. Donald J Denby Jr. 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 ID4183650666

PECOS Enrollment IDI20100324000730

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 12

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

225 services221 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

202 services199 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.

195 services168 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.

141 services92 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

116 services113 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.

105 services105 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

93 services91 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

73 services72 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.

73 services65 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

65 services64 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

37 services37 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100025

Location5151 N 9th AvePensacola, FL 32504 · Escambia County

Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100093

Location123 Baptist WayPensacola, FL 32503 · Escambia County

Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100231

Location8383 N Davis HwyPensacola, FL 32514 · Escambia County

Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100266

Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

68.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.77

Improvement Activities

Cost

38.03

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

2 suppliers53 claims800 services$11.27 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

2 suppliers53 claims366 services$280.47 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

2 suppliers53 claims366 services$8.03 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

2 suppliers53 claims366 services$25.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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. ETHAN MCCALEB GORE M.D.

Psychiatry & Neurology (Neurology)

8333 N DAVIS HWY
PENSACOLA, FL 32514

Escambia County (850) 474-8353

ASHLEIGH MARGARET CHRISTOPHER PA-C

Physician Assistant

8333 N DAVIS HWY
PENSACOLA, FL 32514

Escambia County (800) 874-4542

DR. DEREK A JONES MD

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

8333 N DAVIS HWY, MEDICAL CENTER CLINIC ENT DEPT
PENSACOLA, FL 32514

Escambia County (850) 474-8320

DR. KATHRYN GIULI BROWN AU.D.

Audiologist

8333 N DAVIS HWY
PENSACOLA, FL 32514

Escambia County (850) 347-4581

MELISSA KELLY BROWN APRN

Nurse Practitioner (Family)

8333 N DAVIS HWY
PENSACOLA, FL 32514

Escambia County (850) 474-8386

DR. KEVIN L WELCH MD

Dermatology

8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514

Escambia County (850) 474-8386

DR. JORGE M PELAEZ MD

Psychiatry & Neurology (Neurology)

8333 N DAVIS HWY, WEST FLORIDA MEDICAL CENTER CLINIC PA
PENSACOLA, FL 32514

Escambia County (850) 474-8353

TALIA CLAIRE TREMATERRA

Physical Therapist

8333 N DAVIS HWY
PENSACOLA, FL 32514

Escambia County (850) 969-2600

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 Denby's NPI number?

The NPI number for Donald Denby is 1912984972. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Donald Denby located?

Donald Denby practices at 8333 N Davis Hwy, Pensacola, FL 32514. The listed phone number is (850) 474-8428.

What is Donald Denby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Donald Denby enrolled in Medicare?

Yes. Donald Denby 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 Donald Denby accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Donald Denby 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 Donald Denby affiliated with any hospitals?

According to CMS data, Donald Denby is affiliated with Sacred Heart Hospital, Baptist Hospital, Hca Florida West Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Donald Denby was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.