Donna Sergio
NPI 1598967184 · Adult Health Nurse Practitioner · Utica, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donna Sergio is a Adult Health Nurse Practitioner provider in Utica, NY (NPI 1598967184).
Provider details
- NPI number
- 1598967184
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 400783 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
11 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) |
|---|---|---|
| Administration of Psychological Or Neuropsychological Test, First 30 Minutes96136 | 11 | $31 |
Typical Medicare-allowed amounts for these services range $31–$31 (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 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 445 | 91 |
| Gabapentin | 425 | 85 |
| Pregabalin | 227 | 38 |
| Tizanidine Hcl | 220 | 45 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 144 | 29 |
| Oxycodone Hcl | 112 | 18 |
| Cyclobenzaprine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$670 across 20 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
- 2007-06-05
- Last updated
- 2018-07-02
Frequently asked questions
- What is Donna Sergio's NPI number?
- Donna Sergio's National Provider Identifier (NPI) is 1598967184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donna Sergio's specialty?
- Donna Sergio is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Donna Sergio located?
- Donna Sergio's practice location on file with NPPES is 1508 Genesee St, Utica, NY 13502.
- What is Donna Sergio's phone number?
- The practice phone number listed in the NPPES registry for Donna Sergio is (315) 798-8737.
- Does Donna Sergio accept Medicare?
- Donna Sergio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donna Sergio's NPI active?
- Yes — Donna Sergio's NPI (1598967184) is active in the NPPES registry as of the last update on 2018-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.