Denise Donahue, M.D.
NPI 1518091867 · Orthopaedic Surgery Physician · West Reading, PA
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Denise Donahue, M.D. is a Orthopaedic Surgery Physician provider in West Reading, PA (NPI 1518091867).
Provider details
- NPI number
- 1518091867
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD033596E (PA)
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
421 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) |
|---|---|---|
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 122 | $106 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 86 | $121 |
| Destruction of Peripheral Nerve Or Branch64640 | 85 | $138 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 58 | $156 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 38 | $65 |
| Ultrasonic Guidance for Needle Placement76942 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 1 record (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
- 2007-03-16
- Last updated
- 2014-09-11
Frequently asked questions
- What is Denise Donahue's NPI number?
- Denise Donahue's National Provider Identifier (NPI) is 1518091867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Denise Donahue's specialty?
- Denise Donahue is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Denise Donahue located?
- Denise Donahue's practice location on file with NPPES is 301 S 7th Ave, West Reading, PA 19611-1410.
- What is Denise Donahue's phone number?
- The practice phone number listed in the NPPES registry for Denise Donahue is (610) 376-8671.
- Does Denise Donahue accept Medicare?
- Denise Donahue is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Denise Donahue's NPI active?
- Yes — Denise Donahue's NPI (1518091867) is active in the NPPES registry as of the last update on 2014-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.