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DONNA BAIR NP
NPI 1962885814
Nurse Practitioner - Acute Care in Englewood, OH

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
9000 N MAIN ST, SUITE 101, ENGLEWOOD, OH 45415(937) 832-2425(937) 832-8495 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2020, Jan 25, 2016 (2 updates tracked since 2016).

About Donna Bair Np NPPES

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

DONNA BAIR NP (NPI 1962885814) is an individual acute care provider in Englewood, Ohio, licensed in Ohio (COA.17457-NP) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Uhhs Memorial Hospital Of Geneva, and is a graduate of Wright State University Boonshoft School Of Medicine (2015).

NPPES Registry Identity

NPI1962885814
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDONNA BAIRCredential: NP
Location Address9000 N MAIN ST, SUITE 101Englewood, OH 45415-1180
Mailing Address9000 N Main St, Suite 101Englewood, OH 45415-1180 · (937) 832-2425 · Fax (937) 832-8495
Phone(937) 832-2425
Fax(937) 832-8495
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1962885814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · COA.17457-NP
9000 N MAIN ST, Englewood, OH 45415
Open in Google Maps ↗

Other Identifiers 1

Medicaid0137996OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

Donna Bair Np 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 ID2163736752
PECOS Enrollment IDI20150727000799
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 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.
164 services142 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.
119 services105 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.
70 services49 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.
63 services61 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.
31 services29 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

University Hospitals Conneaut Medical Center

Critical Access Hospitals · Conneaut, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361308
Location158 West Main RoadConneaut, OH 44030 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

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.

MS. NIKI FRANCES HARRY CST
9000 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 836-3118
DR. SUSAN M EMMERLING MD
Obstetrics & Gynecology
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
CARLA RENEE KING CNM
Advanced Practice Midwife
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC
Internal Medicine (Infectious Disease)
9000 N MAIN ST, INFUSION SERVICES
DAYTON, OH 45415
Montgomery County (937) 279-5803
NON-INVASIVE INTERPRETATIONS LLC
Internal Medicine (Cardiovascular Disease)
9000 N MAIN ST, STE 101
DAYTON, OH 45415
Montgomery County (938) 832-2425
BENJAMIN DELOSS MISHLER PA-C, AT
Family Medicine
9000 N MAIN ST
ENGLEWOOD, OH 45415
Montgomery County (260) 223-5666
BRIAN D LEWIS MD
Orthopaedic Surgery
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773
DOUGLAS E MCCAFFERTY PA
Physician Assistant
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773

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 Donna Bair's NPI number?

The NPI number for Donna Bair is 1962885814. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Donna Bair located?

Donna Bair practices at 9000 N Main St Suite 101, Englewood, OH 45415. The listed phone number is (937) 832-2425.

What is Donna Bair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Donna Bair enrolled in Medicare?

Yes. Donna Bair 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 Donna Bair accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Donna Bair 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 Donna Bair affiliated with any hospitals?

According to CMS data, Donna Bair is affiliated with Uhhs Memorial Hospital Of Geneva and University Hospitals Conneaut Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Bair was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.