MR. JEFFREY ALAN DONATELLE – Physical Therapist, NPI 1093991093

MR. JEFFREY ALAN DONATELLE is a healthcare provider. based in Ortonville, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 949-039 (WI). The NPI Number for MR. JEFFREY ALAN DONATELLE is 1093991093

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY ALAN DONATELLE
NPI
1093991093
Phone
(320) 839-4090
Address
309 WASHINGTON AVE
Enumeration Date
21 January 2008
Last Update Date
7 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184547012
Graduation Year
2010 (16 years ago)
PAC ID
1052445590
Group Practice PAC ID
2365627684
Professional Enrollment ID
I20100818001349
Address ID
MN564016984BA15620DRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for MR. JEFFREY ALAN DONATELLE

  • 309, Washington Avenue, Ortonville, Big Stone County, Minnesota, 56278, United States

    ORTONVILLE, MN 562781357

    Phone: (320) 839-4090

    Fax: (320) 839-4196

    Type: Mailing

  • 500 CROSS ST

    BIG STONE CITY, SD 572168237

    Phone: (605) 541-1140

    Fax: (605) 541-0109

    Type: Mailing

  • 15620 EDGEWOOD DR STE 240

    BAXTER, MN 564016984

    Phone: (218) 454-7012

    Fax: (218) 454-7015

    Type: Location

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: 2010-08-18

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
I20100818001349IPhysical Therapist In Private PracticeMNTBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes89980$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes69477$0
97140Therapy procedure using manual technique, each 15 minutes61171$0
97530Therapy procedure using functional activities30338$0
97161Evaluation for physical therapy, typically 20 minutes4132$0
View full utilization report →

Insurance plans in this area (ZIP 56278)

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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: 2365627684View full group profile
NameSpecialtyState
-MN
-SD
Physical Therapist In Private PracticeND
Physical Therapist In Private PracticeSD
Physical Therapist In Private PracticeMN
-ME
Qualified Speech Language PathologistMN
Physical Therapist In Private PracticeMN
-SD

Reviews

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Frequently asked questions

What is the standard ID for MR. JEFFREY ALAN DONATELLE in the U.S.?
In the U.S., MR. JEFFREY ALAN DONATELLE is identified by NPI 1093991093.
Is MR. JEFFREY ALAN DONATELLE currently accepting referrals based on NPI status?
Registry metadata lists MR. JEFFREY ALAN DONATELLE as active.
What services align with MR. JEFFREY ALAN DONATELLE's listing?
MR. JEFFREY ALAN DONATELLE's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. JEFFREY ALAN DONATELLE?
MR. JEFFREY ALAN DONATELLE is associated with Ortonville, Minnesota in the same public data insurers reference.
Who maintains MR. JEFFREY ALAN DONATELLE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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