Kelsey Donlon, PA
NPI 1407480791 · Physician Assistant · Red Bank, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelsey Donlon, PA is a Physician Assistant provider in Red Bank, NJ (NPI 1407480791).
Provider details
- NPI number
- 1407480791
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 025145-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
346 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 159 | $152 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 140 | $105 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 47 | $62 |
Typical Medicare-allowed amounts for these services range $62–$152 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefuroxime Axetilbrand: Cefuroxime | 18 | 18 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 16 | 16 |
| Prednisone | 15 | 14 |
| Cephalexin | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 1771 Madison AveLakewood, NJ 08701-1242Phone: (732) 364-6666Fax: (732) 364-3559
- 100 E 77th StNew York, NY 10075-1850Phone: (212) 434-2000
Registry dates
- Enumerated
- 2020-02-26
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Frequently asked questions
- What is Kelsey Donlon's NPI number?
- Kelsey Donlon's National Provider Identifier (NPI) is 1407480791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelsey Donlon's specialty?
- Kelsey Donlon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelsey Donlon located?
- Kelsey Donlon's practice location on file with NPPES is 1 Riverview Plz, Red Bank, NJ 07701-1864.
- What is Kelsey Donlon's phone number?
- The practice phone number listed in the NPPES registry for Kelsey Donlon is (732) 741-2700.
- Does Kelsey Donlon accept Medicare?
- Kelsey Donlon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelsey Donlon's NPI active?
- Yes — Kelsey Donlon's NPI (1407480791) is active in the NPPES registry as of the last update on 2025-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.