Andrew Donato, MD
NPI 1225064140 · Emergency Medicine Physician · Columbia, SC
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Donato, MD is a Emergency Medicine Physician provider in Columbia, SC (NPI 1225064140).
Provider details
- NPI number
- 1225064140
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16890 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
37,183 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complex Chronic Care Management Services for Two Or More Chronic Conditions, Each Additional 60 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99489 | 27,268 | $70 |
| Complex Chronic Care Management Services for Two Or More Chronic Conditions, First 60 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99487 | 4,166 | $131 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 2,901 | $122 |
| 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'SG2211 | 754 | $16 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 30 | 20 |
| Levothyroxine Sodium | 24 | 14 |
| Amlodipine Besylate | 21 | — |
| Gabapentin | 21 | 11 |
| Furosemide | 17 | 13 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 15 | — |
| Nitrofurantoin Monohyd/M-Cryst |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$51 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 944 Harden StColumbia, SC 29205-1082Phone: (864) 686-7955Fax: (864) 686-7986
- 811 W Main StLexington, SC 29072-2507Phone: (803) 358-6100Fax: (803) 358-6105
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Frequently asked questions
- What is Andrew Donato's NPI number?
- Andrew Donato's National Provider Identifier (NPI) is 1225064140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Donato's specialty?
- Andrew Donato is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Andrew Donato located?
- Andrew Donato's practice location on file with NPPES is 111 Doctor Cir, Columbia, SC 29203-6502.
- What is Andrew Donato's phone number?
- The practice phone number listed in the NPPES registry for Andrew Donato is (800) 491-0909.
- Does Andrew Donato accept Medicare?
- Andrew Donato is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Donato's NPI active?
- Yes — Andrew Donato's NPI (1225064140) is active in the NPPES registry as of the last update on 2025-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.