DR. MYRIAM JACYNTHE DONOVITCH (M.D) – Family Medicine Physician, NPI 1093332389
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
58 SPORTS MEDICINE in IA
Provider Addresses for DR. MYRIAM JACYNTHE DONOVITCH (M.D)
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 506138155
Phone: (319) 222-2711
Type: Location
7401 104TH AVE STE 110
KENOSHA, WI 531427845
Phone: (262) 764-5891
Type: Mailing
420 Delaware St SE
Minneapolis, MN 554550341
Phone: (612) 626-2338
Type: Location
2055 KIMBALL AVE
SUITE 101
WATERLOO, IA 50702
Phone: (319) 272-2529
Type: Location
107 HARVEY DRIVE
WATERLOO, IA 50701
Phone: (773) 658-4545
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230218000258 | I | Family Practice | IA | TBD |
| I20240709001859 | I | Sports Medicine | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 32 | $0 |
Insurance plans in this area (ZIP 50613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | WI | |
| Internal Medicine | WI | |
| Physician Assistant | WI | |
| Physical Therapist In Private Practice | WI | |
| Radiation Oncology | WI | |
| Physician Assistant | WI | |
| Orthopedic Surgery | IL | |
| Physical Medicine And Rehabilitation | WI |
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