Active NPI 1669446993 Individual Practitioner Male Practitioner

Dr. Anthony Herbert Donaldson , MD

Urology • Bennington, VT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Donaldson, MD is a certified Urology practicing in Bennington, VT. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Donaldson delivers high-quality medical care to the local community at 140 HOSPITAL DR.

Dr. Donaldson is affiliated with Southwestern Vermont Medical Center, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, electronic assessment of bladder emptying, new 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

140 Hospital Dr
Suite 100

Bennington, VT 052015009

Telephone 8024476253

Fax 8024423017

Associated Practice Facility / Clinic

🏢 Bennington General Surgery, Pc Facility NPI 1326015579

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bennington, VT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 32.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Bennington, VT (38 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donaldson (27 Years) 27 Yrs

Bennington Specialty Average (27.0 Years) 27.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	673	559	$80.00	$62.47
51741 Electronic assessment of bladder emptying	173	156	$20.00	$7.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$135.00	$77.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	98	$120.00	$92.11
52000 Diagnostic exam of bladder and urethra using an endoscope	101	87	$210.00	$74.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	47	$54.00	$33.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$200.00	$126.19
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$337.19	$140.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	652	548	$80.19	$64.57
51741 Electronic assessment of bladder emptying	189	173	$20.00	$7.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	181	181	$135.00	$80.43
52000 Diagnostic exam of bladder and urethra using an endoscope	131	112	$217.29	$76.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	84	$120.00	$95.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	77	$54.00	$34.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$200.00	$130.03
99441 Telephone medical discussion with physician, 5-10 minutes	17	16	$100.00	$34.29
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$55.00	$46.91
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$337.19	$144.77
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$828.75	$395.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	358	316	$80.00	$66.16
51741 Electronic assessment of bladder emptying	172	150	$20.00	$8.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$136.18	$82.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	80	$121.45	$97.48
52000 Diagnostic exam of bladder and urethra using an endoscope	70	63	$214.55	$77.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	48	$54.00	$35.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$200.00	$134.01
99442 Telephone medical discussion with physician, 11-20 minutes	30	30	$150.00	$65.81
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$75.00	$18.43
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$55.00	$48.34
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$80.00	$39.30
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$100.00	$35.24

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	97	80	$211.28	$97.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	61	$212.07	$97.45
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$143.47	$66.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$251.98	$133.75
52000 Diagnostic exam of bladder and urethra using an endoscope	41	36	$424.54	$77.88
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$142.00	$66.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$238.94	$133.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	24	$89.00	$37.49
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$142.00	$66.57
51702 Simple insertion of temporary bladder tube	15	11	$162.07	$24.76
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$413.28	$78.84

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	108	90	$211.05	$78.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$237.61	$128.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	58	$212.12	$78.55
52000 Diagnostic exam of bladder and urethra using an endoscope	58	50	$455.42	$80.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	33	$81.15	$38.37
99442 Telephone medical discussion with physician, 11-20 minutes	37	35	$125.98	$47.60
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$142.00	$51.07
51700 Simple bladder irrigation and/or instillation	28	19	$162.00	$30.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$272.54	$128.80
52000 Diagnostic exam of bladder and urethra using an endoscope	21	21	$410.37	$81.56
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$142.00	$51.18

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	94	75	$211.35	$76.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	58	$211.95	$76.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$237.59	$125.62
52000 Diagnostic exam of bladder and urethra using an endoscope	61	59	$398.00	$79.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	22	$96.50	$38.37
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$142.00	$49.85
52000 Diagnostic exam of bladder and urethra using an endoscope	17	16	$398.00	$80.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$221.24	$125.72
51700 Simple bladder irrigation and/or instillation	16	12	$162.00	$29.92
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$142.00	$49.90

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	182	159	$155.49	$77.75
99213 Established patient office or other outpatient visit, typically 15 minutes	81	78	$77.39	$50.72
51741 Electronic assessment of bladder emptying	74	68	$20.00	$7.90
52000 Diagnostic exam of bladder and urethra using an endoscope	60	60	$267.00	$81.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$156.47	$75.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$211.20	$78.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$241.11	$125.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$36.88	$25.19
76872 Ultrasound scan of pelvic region through rectum	13	12	$67.92	$33.83
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$87.50	$49.70
51700 Simple bladder irrigation and/or instillation	11	11	$96.25	$30.43
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$142.00	$49.63

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	444	321	$152.00	$77.40
99213 Established patient office or other outpatient visit, typically 15 minutes	172	154	$75.75	$50.19
51741 Electronic assessment of bladder emptying	167	130	$20.00	$7.93
52000 Diagnostic exam of bladder and urethra using an endoscope	114	98	$210.00	$101.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$153.00	$74.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$276.25	$127.24
81000 Manual urinalysis test with examination using microscope, non-automated	37	37	$22.75	$4.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$33.00	$25.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$236.00	$107.23
51798 Ultrasound measurement of bladder capacity after voiding	25	25	$49.50	$19.51
51700 Simple bladder irrigation and/or instillation	22	21	$96.25	$35.27
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$79.00	$49.67
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$159.75	$72.95
51741 Electronic assessment of bladder emptying	16	16	$141.50	$15.39
76872 Ultrasound scan of pelvic region through rectum	11	11	$100.61	$33.38

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VT 042.0011757

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

161998331A (GA)

Medicaid State Provider ID

2777584-00 (FL)

Hospital & Practice Group Affiliations

Southwestern Vermont Medical Center, Inc

140 Hospital Dr, Bennington, VT 052015010

Phone: 8024475519

Practice Associates & Co-Workers

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

1 Associated Practitioners

Stefanie Mcgowan , CRNP

Nurse Practitioner - Acute Care

NPI 1326485954

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2015

Registered at 140 HOSPITAL DR, SUITE 100, BENNINGTON, VT 052015009 (Tel: 8024476253)

📍

Updated Business Mailing Address June 24, 2015

Registered at 85 KEYES LN, SHUSHAN, NY 128732915 (Tel: 5188547492)

👤

Provider Name / Credentials Updated June 24, 2015

Recorded as ANTHONY DONALDSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Urology (License #042.0011757 in VT)

🟢

Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669446993

Entity Type:

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

Enumeration Date: February 14, 2006

Last Update: June 24, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

85 Keyes Ln

Shushan, NY 128732915

Phone: 5188547492

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.