DR. DONNA LOUISE BACON (M.D.) – Family Medicine Physician, NPI 1215934476

DR. DONNA LOUISE BACON (M.D.) is a healthcare provider. based in Port saint john, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME71719 (FL). The NPI Number for DR. DONNA LOUISE BACON (M.D.) is 1215934476

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONNA LOUISE BACON (M.D.)
NPI
1215934476
Phone
(321) 631-3693
Address
7227 N US HIGHWAY 1
Enumeration Date
2 July 2005
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
1557413937
Professional Enrollment ID
I20090715000650
Address ID
FL329275004PO7227N1XXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. DONNA LOUISE BACON (M.D.)

  • 7227 N US HIGHWAY 1

    PORT SAINT JOHN, FL 329275004

    Phone: (321) 631-3693

    Fax: (321) 631-7618

    Type: Mailing

  • 1282 US HIGHWAY 1 STE 1

    ROCKLEDGE, FL 329552747

    Phone: (321) 631-3693

    Fax: (844) 772-0718

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($141).

Total Amount

$377

General + Research + Ownership

Payments

16

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090715000650IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes177106$0
99213Established patient office or other outpatient visit, 20-29 minutes9873$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
View full utilization report →

Insurance plans in this area (ZIP 32927)

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Reviews

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Frequently asked questions

What NPI should I save for DR. DONNA LOUISE BACON (M.D.)?
Save NPI 1215934476 if you need a stable reference for DR. DONNA LOUISE BACON (M.D.).
Is DR. DONNA LOUISE BACON (M.D.) active in the national directory?
DR. DONNA LOUISE BACON (M.D.)'s public NPI profile is in an active state.
What does DR. DONNA LOUISE BACON (M.D.) treat or focus on?
Patients typically see DR. DONNA LOUISE BACON (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. DONNA LOUISE BACON (M.D.)?
The snapshot lists Port Saint John, Florida for DR. DONNA LOUISE BACON (M.D.); download NPPES for the complete set.
What if Port Saint John, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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