Active NPI 1831134824 Individual Practitioner Female Practitioner

Dr. Donna Jean Dolan , MD

Internal Medicine • San Marcos, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donna Dolan, MD is a certified Internal Medicine practicing in San Marcos, TX. With approximately 46 years of clinical experience since graduating from Medical College Of Wisconsin in 1980, Dr. Dolan delivers high-quality medical care to the local community at 1305 WONDER WORLD DR.

Dr. Dolan accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1305 Wonder World Dr
Ste 206

San Marcos, TX 786667546

Telephone 5123961525

Fax 5123532530

Associated Practice Facility / Clinic

🏢 Central Texas Ambulatory Endoscopy Center Facility NPI 1720072457

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in San Marcos, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +9.0 yrs vs City Avg

City Avg: 37.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

15 Specialists

Practicing in San Marcos, TX (9538 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dolan (46 Years) 46 Yrs

San Marcos Specialty Average (37.0 Years) 37.0 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	543	278	$298.00	$121.66
36415 Insertion of needle into vein for collection of blood sample	288	218	$9.00	$8.54
83036 Hemoglobin A1C level	224	129	$36.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$324.00	$123.62
99213 Established patient office or other outpatient visit, typically 15 minutes	205	135	$202.00	$86.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	31	$401.00	$172.59
81002 Urinalysis, manual test	34	24	$10.00	$3.41
G0008 Administration of influenza virus vaccine	28	28	$48.00	$31.03
90662 Influenza vaccine split virus, preservative free	27	27	$146.00	$81.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$477.00	$157.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	15	$149.00	$50.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$462.00	$157.89

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	565	290	$298.00	$121.89
36415 Insertion of needle into vein for collection of blood sample	332	242	$9.00	$8.28
99213 Established patient office or other outpatient visit, typically 15 minutes	229	153	$202.00	$83.41
83036 Hemoglobin A1C level	185	105	$36.00	$9.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$324.00	$123.58
G0008 Administration of influenza virus vaccine	44	44	$48.00	$29.51
90662 Influenza vaccine split virus, preservative free	41	41	$146.00	$71.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	35	$401.00	$168.36
81002 Urinalysis, manual test	40	31	$10.00	$3.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	18	$149.00	$48.87
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	11	$117.00	$39.55

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	518	315	$281.18	$122.60
99213 Established patient office or other outpatient visit, typically 15 minutes	360	223	$190.98	$81.01
36415 Insertion of needle into vein for collection of blood sample	261	217	$8.44	$2.93
83036 Hemoglobin A1C level	184	108	$34.03	$9.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$304.98	$126.71
G0008 Administration of influenza virus vaccine	68	66	$47.65	$28.43
90662 Influenza vaccine split virus, preservative free	63	62	$145.05	$68.28
81002 Urinalysis, manual test	41	31	$9.15	$3.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	26	$141.00	$49.29
G0009 Administration of pneumococcal vaccine	27	27	$45.04	$28.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$276.46	$132.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$430.84	$161.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$375.67	$161.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$286.29	$108.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$434.25	$162.27

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	608	351	$274.00	$123.99
99213 Established patient office or other outpatient visit, typically 15 minutes	332	218	$186.00	$86.08
36415 Insertion of needle into vein for collection of blood sample	259	209	$8.00	$2.96
83036 Hemoglobin A1C level	159	92	$33.00	$9.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$298.00	$128.96
G0008 Administration of influenza virus vaccine	78	78	$44.00	$16.46
90662 Influenza vaccine split virus, preservative free	72	72	$134.00	$65.14
81002 Urinalysis, manual test	41	32	$9.00	$3.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	26	$137.00	$51.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$275.00	$109.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$419.00	$163.39
G0009 Administration of pneumococcal vaccine	19	19	$44.00	$16.39
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$270.00	$124.03
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	13	$107.00	$39.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$369.00	$176.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$425.00	$164.09

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	503	317	$274.00	$100.47
99213 Established patient office or other outpatient visit, typically 15 minutes	296	197	$186.00	$68.01
36415 Insertion of needle into vein for collection of blood sample	155	137	$8.00	$3.00
83036 Hemoglobin A1C level	105	71	$33.00	$9.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$298.00	$112.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$439.00	$162.69
G0008 Administration of influenza virus vaccine	53	53	$44.00	$16.20
90662 Influenza vaccine split virus, preservative free	48	48	$134.00	$60.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$275.00	$101.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	28	$137.00	$50.13
99442 Telephone medical discussion with physician, 11-20 minutes	23	17	$91.30	$64.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$419.00	$160.47
81002 Urinalysis, manual test	22	19	$9.00	$3.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$369.00	$137.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	12	$107.00	$37.64
G0009 Administration of pneumococcal vaccine	19	19	$44.00	$16.22
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$270.00	$119.92
99443 Telephone medical discussion with physician, 21-30 minutes	16	15	$129.38	$97.71

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	633	338	$274.00	$102.54
99213 Established patient office or other outpatient visit, typically 15 minutes	350	213	$186.00	$71.14
83036 Hemoglobin A1C level	155	95	$33.00	$10.51
G0008 Administration of influenza virus vaccine	58	57	$44.00	$15.90
81002 Urinalysis, manual test	55	41	$9.00	$3.41
90662 Influenza vaccine split virus, preservative free	55	54	$134.00	$54.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$298.00	$111.45
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	15	$107.00	$39.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$439.00	$160.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$137.00	$51.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$275.00	$104.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$369.00	$140.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$419.00	$158.77

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	566	336	$259.00	$102.66
99213 Established patient office or other outpatient visit, typically 15 minutes	473	264	$175.00	$70.11
83036 Hemoglobin A1C level	74	65	$35.00	$11.75
81002 Urinalysis, manual test	49	35	$10.00	$3.41
G0008 Administration of influenza virus vaccine	33	33	$55.00	$19.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$322.00	$104.12
99497 Advance care planning, first 30 minutes	29	29	$207.00	$82.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$432.00	$140.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$320.00	$159.07
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	12	$122.00	$40.05
90662 Influenza vaccine split virus, preservative free	26	26	$80.00	$50.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	21	$159.00	$51.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$272.00	$112.32
G0444 Annual depression screening, 5 to 15 minutes	14	14	$44.00	$17.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$407.00	$165.67

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	808	370	$187.66	$101.57
99213 Established patient office or other outpatient visit, typically 15 minutes	217	141	$129.61	$69.04
G0008 Administration of influenza virus vaccine	66	66	$27.76	$23.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	64	64	$240.00	$163.57
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	62	62	$30.00	$17.12
81002 Urinalysis, manual test	52	44	$20.00	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	32	$200.00	$135.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	24	$93.22	$51.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	11	$80.64	$39.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$203.00	$151.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$200.00	$110.49
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$50.00	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$144.64	$103.35
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$220.00	$159.00

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX F8085

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

096265604 (TX)

Commercial Insurance / Payer ID Bcbs

8K9771 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Abel Galaviz , MD

Surgery

NPI 1659315471

Doctor of Medicine (M.D.)

Dr. Grayson Smith , MD

Internal Medicine

NPI 1740224567

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 November 19, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2009

Registered at 1305 WONDER WORLD DR, STE 206, SAN MARCOS, TX 786667546 (Tel: 5123961525)

📍

Updated Business Mailing Address November 19, 2009

Registered at 1305 WONDER WORLD DR, STE 206, SAN MARCOS, TX 786667546 (Tel: 5123961525)

👤

Provider Name / Credentials Updated November 19, 2009

Recorded as DONNA DOLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2009

Internal Medicine (License #F8085 in TX)

🟢

Initial NPI Registration & Enumeration June 17, 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: 1831134824

Entity Type:

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

Enumeration Date: June 17, 2006

Last Update: November 19, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1305 Wonder World Dr, Ste 206

San Marcos, TX 786667546

Phone: 5123961525

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.