Individual provider Active NPI

Steven J Donnelly, MD

  • Ophthalmology Physician
  • Lancaster, PA
National Provider Identifier
1790710572
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD452709 Issued in PA
Practice address
485 Royer Dr
Suite 103
Lancaster, PA 17601-5102
Phone
(717) 560-4020
Fax
(717) 560-2919
NPI assigned
Jul 11, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 63772 GA
Ophthalmology Physician 207W00000X 0101235261 VA
Ophthalmology Physician 207W00000X MD452709 PA Primary

Addresses

Primary practice location

485 Royer Dr
Suite 103
Lancaster, PA 17601-5102

Mailing address

485 Royer Dr
Suite 103
Lancaster, PA 17601-5102
Phone (717) 560-4020

Other identifiers 1

IdentifierTypeStateIssuer
1029908400001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141211001490 PA Practitioner - Ophthalmology 1951433408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Lancaster LTDGroup PAC ID 9032108675, 7 clinicians

Practice addresses (Care Compare)

485 Royer Dr
Suite 103
Lancaster, PA 17601-5102
Phone (717) 560-4020

Merit-based Incentive Payment System (MIPS)

Final score
91.09 of 100Reported as group
Quality
95.01
Improvement activities
40
Cost
76.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63772GAMDOphthalmology Physician
MD452709PAMDOphthalmology Physician
0101235261VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Lancaster LTD Ophthalmology CurrentSince Jan 1, 2015 Accepting new patients
Edol Optical Inc CurrentSince Oct 1, 2016 Accepting new patients

Locations

485 Royer Dr
Ste 103
Lancaster, PA 17601
Phone (717) 560-4020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1790710572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROYER DR",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015102",
            "telephone_number": "717-560-4020",
            "fax_number": "717-560-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROYER DR",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015102",
            "telephone_number": "717-560-4020",
            "fax_number": "717-560-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "63772",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101235261",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD452709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029908400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.