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DR. ANDREA THOMAS DONALEXIS MD
NPI 1982951687
Family Medicine in Clearwater, FL

Active since August 13, 2012PECOS EnrolledAccepts Medicare Assignment
300 PINELLAS ST, CLEARWATER, FL 33756(727) 462-7907(727) 462-7904 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Mar 17, 2018, Aug 14, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Andrea Thomas Donalexis Md NPPES

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

DR. ANDREA THOMAS DONALEXIS MD (NPI 1982951687) is an individual family medicine provider in Clearwater, Florida, licensed in Florida (ME153060) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982951687
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREA THOMAS DONALEXISCredential: MD
Location Address300 PINELLAS STClearwater, FL 33756-3804
Mailing Address300 Pinellas StClearwater, FL 33756-3804 · (727) 462-7907 · Fax (727) 462-7904
Phone(727) 462-7907
Fax(727) 462-7904
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2011
Enumeration DateAugust 13, 2012
Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1982951687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME153060✔ Licensed in AL · MD.33456✔ Licensed in WA · MD60485834
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 PINELLAS ST, Clearwater, FL 33756
Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Lee Thomas(birth)rivers(first Marriage)

Secondary Practice Locations 2

Location 13908 10th St SEPuyallup, WA 98374-2188 · Phone (253) 848-5951 · Fax (253) 845-7073
Location 250 Medical Park Dr EBirmingham, AL 35235-3401 · Phone (205) 930-2456 · Fax (205) 930-2469

Other Identifiers 1

Medicaid1982951687WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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. Andrea Thomas Donalexis 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 ID3072763978
PECOS Enrollment IDI20211130001018
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 4

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.

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.
215 services204 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
22 services22 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.
20 services20 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%97 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRYAN HYMAN DO
Emergency Medicine
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 447-7175
JENSEN THOMPSON PA-C
Physician Assistant
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
MANDEE PETERSON CRNA
Nurse Anesthetist, Certified Registered
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
ALEXANDRA ABREU-ESPOSITO PA-C
Physician Assistant
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 447-7175
DR. IRMA ALVES M.D.
Internal Medicine
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 462-7908
DR. MARK W STANFORD MD
Emergency Medicine
300 PINELLAS ST, MORTON PLANT HOSPITAL
CLEARWATER, FL 33756
Pinellas County (727) 462-7000
HEATHER JO BRINK PHARMD
Pharmacist
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (480) 213-5012
KIRAN RABHERU MD
Psychiatry & Neurology (Psychiatry)
300 PINELLAS ST
CLEARWATER, FL 33756
Pinellas County (727) 298-6283

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 Andrea Donalexis's NPI number?

The NPI number for Andrea Donalexis is 1982951687. It was assigned to this individual provider in the NPPES registry on August 13, 2012. The provider is also known as Andrea Lee Thomas(birth)rivers(first Marriage).

Where is Andrea Donalexis located?

Andrea Donalexis practices at 300 Pinellas St, Clearwater, FL 33756. The listed phone number is (727) 462-7907.

What is Andrea Donalexis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrea Donalexis enrolled in Medicare?

Yes. Andrea Donalexis 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 Andrea Donalexis accept?

Health plans from AvMed list Andrea Donalexis 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 Andrea Donalexis affiliated with any hospitals?

According to CMS data, Andrea Donalexis is affiliated with St Anthonys Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Donalexis was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.