Active NPI 1609868652 Individual Practitioner Male Practitioner

Dr. James R Donovan , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Donovan, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 45 years of clinical experience since graduating from University Of Toledo College Of Medicine in 1981, Dr. Donovan delivers high-quality medical care to the local community at 463 OHIO PIKE.

Dr. Donovan is affiliated with Trihealth H Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

463 Ohio Pike
Suite 300

Cincinnati, OH 452553721

Telephone 5135285600

Fax 5135289716

Associated Practice Facility / Clinic

🏢 Trihealth Physician Practices, Llc Facility NPI 1023062676

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +22.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donovan (45 Years) 45 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$93.00	$64.08
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	11	11	$28.00	$16.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	21	$93.00	$62.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	46	$93.00	$66.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	71	$93.00	$56.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$143.00	$86.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	56	$93.00	$41.36
99441 Telephone medical discussion with physician, 5-10 minutes	30	27	$62.50	$26.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$143.00	$63.06
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$95.36	$51.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	104	$93.00	$37.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$143.00	$61.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	118	$93.00	$35.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	111	$93.00	$38.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$143.00	$50.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35047988D

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0611583 (OH)

Hospital & Practice Group Affiliations

Trihealth H Llc

375 Dixmyth Ave, Cincinnati, OH 452202475

Trihealth H Llc

379 Dixmyth Ave, Cincinnati, OH 452202475

Phone: 5132467000

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Sorina Macavei , MD

Internal Medicine

NPI 1003800756

Doctor of Medicine (M.D.)

Dr. Helen Koselka , MD

Internal Medicine

NPI 1003808015

Doctor of Medicine (M.D.)

Dr. Fadi Bailony , MD

Internal Medicine

NPI 1003965385

Doctor of Medicine (M.D.)

Ashlee Schaa , CNP

Nurse Practitioner - Family

NPI 1063062966

Certified Nurse Practitioner

Dr. Michel Kourie , MD

Internal Medicine

NPI 1083606008

Doctor of Medicine (M.D.)

Dr. Georges Feghali , MD

Internal Medicine

NPI 1336131374

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 May 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2012

Registered at 463 OHIO PIKE, SUITE 300, CINCINNATI, OH 452553721 (Tel: 5135285600)

📍

Updated Business Mailing Address May 18, 2012

Registered at PO BOX 637676, CINCINNATI, OH 452630001 (Tel: 5135285600)

👤

Provider Name / Credentials Updated May 18, 2012

Recorded as JAMES DONOVAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2012

Internal Medicine (License #35047988D in OH)

🟢

Initial NPI Registration & Enumeration August 16, 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: 1609868652

Entity Type:

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

Enumeration Date: August 16, 2005

Last Update: May 18, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 637676

Cincinnati, OH 452630001

Phone: 5135285600

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.