Justin Donaghy, M.D.
NPI 1558712992 · Neurology Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Donaghy, M.D. is a Neurology Physician provider in Worcester, MA (NPI 1558712992).
Provider details
- NPI number
- 1558712992
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 267494 (MA)
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
9 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
1,544 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 442 | $129 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 272 | $182 |
| 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 | 250 | $16 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 117 | $103 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 115 | $222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Donepezil Hcl | 185 | 57 |
| Memantine Hclbrand: Memantine Hcl Er | 98 | 28 |
| Gabapentin | 83 | 24 |
| Topiramate | 70 | 13 |
| Levetiracetam | 64 | 19 |
| Propranolol Hcl | 61 | 17 |
| Pregabalin | 59 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$879 across 41 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
- 2016-06-27
- Last updated
- 2021-05-07
- Certified
- 2021-05-07
Frequently asked questions
- What is Justin Donaghy's NPI number?
- Justin Donaghy's National Provider Identifier (NPI) is 1558712992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Donaghy's specialty?
- Justin Donaghy is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Donaghy located?
- Justin Donaghy's practice location on file with NPPES is 123 Summer St Ste 660, Worcester, MA 01608-1216.
- What is Justin Donaghy's phone number?
- The practice phone number listed in the NPPES registry for Justin Donaghy is (508) 363-9030.
- Does Justin Donaghy accept Medicare?
- Justin Donaghy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Donaghy's NPI active?
- Yes — Justin Donaghy's NPI (1558712992) is active in the NPPES registry as of the last update on 2021-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.