DR. DANIEL J DONOFRIO (MD) – Family Medicine Physician, NPI 1710090915

DR. DANIEL J DONOFRIO (MD) is a healthcare provider. based in Saint augustine, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. PA2674 (FL). The NPI Number for DR. DANIEL J DONOFRIO (MD) is 1710090915

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL J DONOFRIO (MD)
NPI
1710090915
Phone
(904) 826-3469
Address
130 HEALTH PARK BLVD
Enumeration Date
15 August 2006
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043427363
Graduation Year
2005 (21 years ago)
PAC ID
5092747220
Group Practice PAC ID
5991945289
Professional Enrollment ID
I20101115000243
Address ID
FL320807504ST6573XA1AX200
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. DANIEL J DONOFRIO (MD)

  • 130 HEALTH PARK BLVD

    SAINT AUGUSTINE, FL 320865776

    Phone: (904) 826-3469

    Fax: (904) 808-4608

    Type: Location

  • A1A Beach Boulevard, Saint Augustine, Saint Johns County, Florida, 32084, United States

    ST AUGUSTINE, FL 32080

    Phone: (904) 471-9104

    Fax: (904) 461-3386

    Type: Location

  • 33, Anastasia Lakes Drive, Anastasia Lakes, Saint Augustine, Saint Johns County, Florida, 32080, United States

    ST AUGUSTINE, FL 32080

    Phone: (904) 471-8973

    Fax: (904) 471-3386

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $2,492.

Total Amount is formed as General ($2,492) + Research ($0) + Ownership ($0) = $2,492.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($282).

Total Amount

$2,492

General + Research + Ownership

Payments

95

Total payment records

General Amount

$2,492

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-11-15

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
I20101115000243IFamily 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 minutes771403$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit361361$0
99213Established patient office or other outpatient visit, 20-29 minutes339231$0
G0444Annual depression screening, 5 to 15 minutes221221$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7721$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991945289View full group profile
NameSpecialtyState
Family PracticeFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL

Reviews

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Frequently asked questions

What identifier follows DR. DANIEL J DONOFRIO (MD) across health systems?
The NPI 1710090915 uniquely identifies DR. DANIEL J DONOFRIO (MD) in U.S. healthcare data.
Quick check: is DR. DANIEL J DONOFRIO (MD) active?
Public NPPES data shows DR. DANIEL J DONOFRIO (MD) with an active NPI status right now.
What does the directory say DR. DANIEL J DONOFRIO (MD) does?
Insurance directories may phrase it differently, but here DR. DANIEL J DONOFRIO (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DANIEL J DONOFRIO (MD)?
The directory associates DR. DANIEL J DONOFRIO (MD) with Saint Augustine, Florida. Check all listed addresses for suites or satellite offices.
Can I export DR. DANIEL J DONOFRIO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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