Deactivated NPI 1407850852 Deactivated / Inactive NPI Male Practitioner

Dr. John Donovan , MD

Otolaryngology • Salem, OR

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Donovan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2005

NPI Deactivation Date March 24, 2006

Total Practice Duration ~19 Years of Practice (1987 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. John Donovan, MD was a registered Otolaryngology in Salem, OR. Prior to record deactivation on 2006-03-24, Dr. Donovan completed approximately 19 years of clinical practice following graduation from Washington University School Of Medicine in 1987.

Dr. Donovan was affiliated with Willamette Ear Nose And Throat Llp and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3099 River Rd S

Salem, OR 973029754

Telephone 5035811567

Fax 5033991229

Associated Practice Facility / Clinic

🏢 River Road Surgery Center Llc Facility NPI 1487620472

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Salem, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +14.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Salem, OR (171 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donovan (39 Years) 39 Yrs

Salem Specialty Average (24.5 Years) 24.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	67	$343.00	$121.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$443.00	$160.47
31575 Diagnostic exam of voice box using a flexible endoscope	63	56	$351.00	$118.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$295.00	$106.90
99213 Established patient office or other outpatient visit, typically 15 minutes	49	45	$240.00	$87.55
69210 Removal of impacted ear wax	36	35	$126.00	$41.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$150.00	$54.41
10005 Fine needle aspiration of first lesion using ultrasound guidance	25	24	$366.00	$128.73
92504 Exam of ear using a microscope	16	15	$78.00	$28.10
31231 Diagnostic examination of nasal passages using an endoscope	14	14	$528.00	$173.59
30901 Simple control of nose bleed	13	12	$348.08	$143.78

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	95	95	$295.00	$104.63
99213 Established patient office or other outpatient visit, typically 15 minutes	95	85	$240.00	$85.95
31575 Diagnostic exam of voice box using a flexible endoscope	75	72	$341.25	$116.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	59	$150.00	$53.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	53	$343.00	$120.75
69210 Removal of impacted ear wax	46	45	$126.00	$42.53
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$190.00	$69.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$443.00	$159.64
10005 Fine needle aspiration of first lesion using ultrasound guidance	28	28	$335.50	$130.74
92504 Exam of ear using a microscope	24	21	$78.00	$28.12
30901 Simple control of nose bleed	16	13	$225.00	$151.86
76536 Ultrasound of head and neck	13	13	$653.00	$103.63

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	187	187	$295.00	$106.26
99213 Established patient office or other outpatient visit, typically 15 minutes	153	135	$240.00	$85.90
31575 Diagnostic exam of voice box using a flexible endoscope	103	96	$334.00	$114.53
69210 Removal of impacted ear wax	66	66	$126.00	$40.13
10005 Fine needle aspiration of first lesion using ultrasound guidance	46	43	$305.00	$128.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$443.00	$155.05
76536 Ultrasound of head and neck	27	27	$653.00	$109.96
30901 Simple control of nose bleed	26	24	$225.00	$150.71
31231 Diagnostic examination of nasal passages using an endoscope	21	20	$528.00	$175.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$480.00	$173.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$150.00	$54.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$343.00	$123.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	219	176	$188.30	$88.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$266.57	$108.53
31575 Diagnostic exam of voice box using a flexible endoscope	36	34	$334.00	$118.94
69210 Removal of impacted ear wax	31	30	$117.00	$42.82
10005 Fine needle aspiration of first lesion using ultrasound guidance	20	20	$305.00	$132.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$419.79	$162.42
30901 Simple control of nose bleed	14	14	$225.00	$152.58
76536 Ultrasound of head and neck	14	14	$653.00	$113.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$299.50	$125.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$117.86	$54.44
30903 Complex control of nose bleed	13	11	$470.00	$240.00
92511 Exam of the nose and throat using an endoscope	13	13	$322.00	$114.55
31231 Diagnostic examination of nasal passages using an endoscope	12	12	$528.00	$191.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	154	$173.00	$70.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	168	168	$257.00	$103.03
10005 Fine needle aspiration of first lesion using ultrasound guidance	42	41	$305.00	$127.00
92511 Exam of the nose and throat using an endoscope	41	41	$322.00	$108.89
69210 Removal of impacted ear wax	35	33	$117.00	$46.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$100.00	$41.56
30903 Complex control of nose bleed	14	11	$470.00	$214.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$394.00	$160.74
76536 Ultrasound of head and neck	13	13	$653.00	$113.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$256.00	$106.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	128	$173.00	$72.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$257.00	$104.29
10005 Fine needle aspiration of first lesion using ultrasound guidance	62	61	$305.00	$122.58
92511 Exam of the nose and throat using an endoscope	53	50	$322.00	$108.57
69210 Removal of impacted ear wax	41	38	$117.00	$44.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$100.00	$43.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$256.00	$106.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$394.00	$160.59
76536 Ultrasound of head and neck	28	28	$653.00	$111.94
60500 Removal or exploration of parathyroid glands	16	16	$1945.97	$953.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	110	$173.00	$70.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	67	$256.00	$102.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$394.00	$157.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$257.00	$101.72
92511 Exam of the nose and throat using an endoscope	48	41	$322.00	$105.41
10022 Fine needle aspiration using imaging guidance	41	35	$320.00	$137.69
69210 Removal of impacted ear wax	34	31	$117.00	$47.60
76536 Ultrasound of head and neck	24	22	$653.00	$114.34
92557 Comprehensive hearing and speech recognition test	14	14	$105.00	$37.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	12	$474.00	$58.75
92567 Eardrum testing using ear probe	12	12	$46.00	$14.26
30901 Simple control of nose bleed	12	11	$225.00	$132.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	136	$173.00	$69.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$257.00	$104.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$394.00	$157.34
92511 Exam of the nose and throat using an endoscope	54	49	$322.00	$107.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	41	$256.00	$101.34
10022 Fine needle aspiration using imaging guidance	43	36	$320.00	$137.06
76536 Ultrasound of head and neck	32	32	$653.00	$111.28
92567 Eardrum testing using ear probe	28	27	$46.00	$13.44
92557 Comprehensive hearing and speech recognition test	25	24	$105.00	$36.05
69210 Removal of impacted ear wax	23	18	$117.00	$47.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$100.00	$42.30

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License OR BD1452399

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

044987 (OR)

Hospital & Practice Group Affiliations

Willamette Ear Nose And Throat Llp

3099 River Rd S, Salem, OR 973029754

Phone: 5035811567

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Jared Hiebert , MD

Otolaryngology

NPI 1013278654

Doctor of Medicine (M.D.)

Tina Haskins , SLP

Speech-Language Pathologist

NPI 1124361035

Speech-Language Pathologist

Samuel Altonji

Otolaryngology

NPI 1194287672

Dr. Christopher Prze , MD

Otolaryngology

NPI 1306224530

Doctor of Medicine (M.D.)

Bonnie Brown

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1427923127

Dr. Suzanne Strand , DO

Otolaryngology

NPI 1457748576

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 31, 2011

Registered at 3099 RIVER RD S, SALEM, OR 973029754 (Tel: 5035811567)

📍

Updated Business Mailing Address October 31, 2011

Registered at 3099 RIVER RD S, SALEM, OR 973029754 (Tel: 5035811567)

👤

Provider Name / Credentials Updated October 31, 2011

Recorded as JOHN DONOVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2011

Otolaryngology (License #BD1452399 in OR)

🔄

NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️

NPI Profile Deactivated March 24, 2006

Record deactivated on March 24, 2006

🟢

Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. John Donovan. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407850852

Entity Type:

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

Enumeration Date: June 13, 2005

Last Update: October 31, 2011

Deactivation Date: March 24, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3099 River Rd S

Salem, OR 973029754

Phone: 5035811567

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.