Active NPI 1902802192 Individual Practitioner Male Practitioner

Dr. Mark E Donnelly , MD

Specialist • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Mark Donnelly, MD is a registered healthcare professional specializing in Specialist in Flagstaff, AZ. Practice services are available at 1215 N BEAVER ST under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1215 N Beaver St
Ste 202

Flagstaff, AZ 860013126

Telephone 9287732200

Fax 9287732201

Associated Practice Facility / Clinic

🏢 Southwest Heart And Lung Flagstaff Facility NPI 1790844595

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Flagstaff, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.0 Yrs

State Avg: 35.9 Yrs

Regional Practice Density

22 Specialists

Practicing in Flagstaff, AZ (826 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$200.00	$100.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$213.00	$101.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$324.00	$156.74
99213 Established patient office or other outpatient visit, typically 15 minutes	27	17	$143.85	$68.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$86.00	$41.73
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$200.22	$96.78
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	22	$52.00	$17.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$992.00	$304.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$213.88	$73.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	38	$86.06	$24.44
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$143.00	$48.88
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$200.00	$97.01
49505 Repair of groin hernia (5 years or older)	15	15	$1537.13	$518.76
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$52.00	$18.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$271.00	$131.03
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$147.00	$48.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$992.00	$331.05
35301 Removal of blood clot and portion of artery of neck	12	12	$3201.00	$1109.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$213.00	$103.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$324.00	$156.56

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 18917

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

286874 (AZ)

Commercial Insurance / Payer ID Railroad Medicare

P01112889 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Dr. Craig Peters , DO

Internal Medicine - Cardiovascular Disease

NPI 1023167384

Doctor of Osteopathic Medicine (D.O.)

Peggy Marlatt , LPN, RVT

Licensed Practical Nurse

NPI 1033296074

Licensed Practical Nurse, RVT

Angela Hansen , RD, IBCLC

Dietitian, Registered

NPI 1063839009

Registered Dietitian, International Board Certified Lactation Consultant

Dr. Jeffrey Gruner , MD

Surgery - Surgical Critical Care

NPI 1073515862

Doctor of Medicine (M.D.)

Dr. John Martin , PhD

Psychologist - Clinical

NPI 1083641237

Doctor of Philosophy (Ph.D.)

Emilie Bowers , FNP

Nurse Practitioner

NPI 1134381973

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2017

Registered at 1215 N BEAVER ST, STE 202, FLAGSTAFF, AZ 860013126 (Tel: 9287732200)

📍

Updated Business Mailing Address March 14, 2017

Registered at 1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 860013118 (Tel: 9287732559)

👤

Provider Name / Credentials Updated March 14, 2017

Recorded as MARK DONNELLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Specialist (License #18917 in AZ)

✅

NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2015

Registered at 1215 N BEAVER ST, STE 202, FLAGSTAFF, AZ 860013126 (Tel: 9287732200)

📍

Updated Business Mailing Address October 22, 2015

Registered at 1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 860013118 (Tel: 9287732559)

👤

Provider Name / Credentials Updated October 22, 2015

Recorded as MARK DONNELLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Specialist (License #18917 in AZ)

🟢

Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902802192

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2005

Last Update: March 14, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 N Beaver St, Payer Credentialing

Flagstaff, AZ 860013118

Phone: 9287732559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.