Active NPI 1821064064 Individual Practitioner Male Practitioner

Dr. John A Donnelly , MD

Internal Medicine • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Donnelly, MD is a certified Internal Medicine practicing in Newark, DE. With approximately 29 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1997, Dr. Donnelly delivers high-quality medical care to the local community at 200 HYGEIA DR.

Dr. Donnelly is affiliated with Christiana Care Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Hygeia Dr
Unit A

Newark, DE 197132049

Telephone 3026230100

Associated Practice Facility / Clinic

🏢 Glasgow Medical Center, Llc Facility NPI 1447200670

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +12.4 yrs vs City Avg

City Avg: 16.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

243 Specialists

Practicing in Newark, DE (625 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donnelly (29 Years) 29 Yrs

Newark Specialty Average (16.6 Years) 16.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	39	$202.46	$76.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	37	$289.38	$115.19
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$98.33	$64.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$182.40	$94.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$112.36	$47.92
99238 Hospital discharge day management, 30 minutes or less	16	15	$204.58	$78.67
99239 Hospital discharge day management, more than 30 minutes	11	11	$297.86	$111.30
99291 Critical care, first 30-74 minutes	11	11	$769.56	$204.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	140	67	$195.34	$79.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	55	$279.55	$119.50
99238 Hospital discharge day management, 30 minutes or less	38	37	$198.18	$81.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$222.91	$92.80
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$131.87	$66.23
99239 Hospital discharge day management, more than 30 minutes	23	23	$284.67	$115.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	67	$162.24	$71.80
99238 Hospital discharge day management, 30 minutes or less	34	34	$162.53	$73.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$178.30	$100.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	20	$240.31	$103.85
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$104.00	$68.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	318	121	$155.00	$73.20
99238 Hospital discharge day management, 30 minutes or less	72	71	$156.00	$73.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	21	$223.00	$105.19
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$95.39	$68.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$149.89	$95.06
99239 Hospital discharge day management, more than 30 minutes	17	17	$231.00	$108.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	180	81	$155.00	$74.98
99238 Hospital discharge day management, 30 minutes or less	53	53	$156.00	$75.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	32	$223.00	$107.49
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$92.00	$53.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$147.59	$79.04
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$181.00	$82.19
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$127.00	$53.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	51	$155.00	$74.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	31	$223.00	$106.77
99213 Established patient office or other outpatient visit, typically 15 minutes	56	52	$93.88	$52.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$146.64	$79.82
99238 Hospital discharge day management, 30 minutes or less	42	42	$156.00	$75.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	16	$84.00	$40.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	138	69	$155.00	$74.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	111	56	$223.00	$103.60
99213 Established patient office or other outpatient visit, typically 15 minutes	110	95	$92.76	$52.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	74	$149.32	$79.36
99238 Hospital discharge day management, 30 minutes or less	57	55	$156.00	$74.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$437.00	$206.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	257	95	$155.12	$71.15
99213 Established patient office or other outpatient visit, typically 15 minutes	110	100	$92.48	$50.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	67	$147.62	$76.95
99238 Hospital discharge day management, 30 minutes or less	49	49	$156.00	$71.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	22	$223.00	$102.92

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C10006226

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License DE C10006226

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

Christiana Care Health Services Inc

501 W 14th St, Wilmington, DE 198011013

Phone: 3023204410

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Alexis Cammarata , DO

Student in an Organized Health Care Education/Training Program

NPI 1073191367

Doctor of Osteopathic Medicine (D.O.)

Judith Hendricks , NP

Nurse Practitioner

NPI 1154392835

Nurse Practitioner

Dr. Dawn Hirokawa , MD, MPH

Dermatology

NPI 1194927764

Doctor of Medicine (M.D.), Master of Public Health

Dr. Allen Friedland , MD

Internal Medicine

NPI 1306823471

Doctor of Medicine (M.D.)

Dr. Jamie Rapacciuolo , DO

Family Medicine

NPI 1467611772

Doctor of Osteopathic Medicine (D.O.)

Dr. Susan Livesay , MD

Family Medicine

NPI 1477531390

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2011

Registered at 200 HYGEIA DR, UNIT A, NEWARK, DE 197132049 (Tel: 3026230100)

📍

Updated Business Mailing Address August 02, 2011

Registered at 200 HYGEIA DR, UNIT A, NEWARK, DE 197132049

👤

Provider Name / Credentials Updated August 02, 2011

Recorded as JOHN DONNELLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2011

Internal Medicine (License #C10006226 in DE)

🟢

Initial NPI Registration & Enumeration February 27, 2006

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: 1821064064

Entity Type:

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

Enumeration Date: February 27, 2006

Last Update: August 02, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Hygeia Dr, Unit A

Newark, DE 197132049

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.