Scott Donaldson, MD
NPI 1225115785 · Pulmonary Disease Physician · Chapel Hill, NC
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Donaldson, MD is a Pulmonary Disease Physician provider in Chapel Hill, NC (NPI 1225115785).
Provider details
- NPI number
- 1225115785
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 9300086 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
192 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 73 | $111 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 30 | $94 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 22 | $8 |
| Test to Measure Rate of Airflow94375 | 19 | $13 |
| 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 | 17 | $16 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Elexacaftor/Tezacaftor/Ivacaftbrand: Trikafta | 138 | 13 |
| Lipase/Protease/Amylasebrand: Creon | 27 | — |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 22 | — |
| Omeprazole | 22 | — |
| Azithromycin | 18 | — |
| Albuterol Sulfatebrand: Ventolin Hfa | 16 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15,782 across 18 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
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Scott Donaldson's NPI number?
- Scott Donaldson's National Provider Identifier (NPI) is 1225115785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Donaldson's specialty?
- Scott Donaldson is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Donaldson located?
- Scott Donaldson's practice location on file with NPPES is 101 Manning Dr, Chapel Hill, NC 27599-0001.
- What is Scott Donaldson's phone number?
- The practice phone number listed in the NPPES registry for Scott Donaldson is (919) 966-4996.
- Does Scott Donaldson accept Medicare?
- Scott Donaldson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Donaldson's NPI active?
- Yes — Scott Donaldson's NPI (1225115785) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.