DR. DONNA H KLEBAN (MD) – Surgery Physician, NPI 1215950589
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
Provider Addresses for DR. DONNA H KLEBAN (MD)
2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States
ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS, FL 339071412
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
3893 Military Trl Ste 1
Jupiter, FL 334582936
Phone: (561) 832-1234
Fax: (561) 832-5316
Type: Location
1411 N Flagler Dr Ste 7100
West Palm Beach, FL 334013418
Phone: (561) 832-1234
Fax: (561) 832-5316
Type: Location
4620 Pga Blvd Ste 101
Palm Beach Gardens, FL 334183991
Phone: (561) 832-1234
Fax: (561) 832-5316
Type: Location
1397 Medical Park Blvd Ste 480
Wellington, FL 334143188
Phone: (561) 832-1234
Fax: (561) 832-5316
Type: Location
1411 N FLAGLER DR STE 8300
WEST PALM BEACH, FL 334013413
Phone: (561) 832-2134
Fax: (561) 832-5316
Type: Location
PO BOX 95000-7370
PHILADELPHIA, PA 191957370
Phone: (561) 331-0808
Fax: (561) 594-0880
Type: Mailing
State Road 7, Wellington, Palm Beach County, Florida, 33414-9372, United States
SUITE 105
WELLINGTON, FL 334498184
Phone: (561) 965-1100
Fax: (561) 965-4143
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $374.
Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Elucent Medical ($352).
Total Amount
$374
General + Research + Ownership
Payments
4
Total payment records
General Amount
$374
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Elucent Medical | $352 |
| Bard Peripheral Vascular, Inc. | $15 |
| Endomagnetics Ltd | $6 |
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: 2011-09-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110919000614 | I | General Surgery | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 13 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 16 | 14 | $0 |
Insurance plans in this area (ZIP 33907)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | FL | |
| Nurse Practitioner | NY | |
| U R O L O G Y | FL | |
| Family Practice | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Thoracic Surgery, General Surgery | FL | |
| U R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | FL | |
| U R O L O G Y | FL |
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