NICHOLAS DONOHUE – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1457884488

NICHOLAS DONOHUE is a healthcare provider. based in Lees summit, Missouri. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT, PAIN MANAGEMENT. They hold a License No. 2022037936 (MO). The NPI Number for NICHOLAS DONOHUE is 1457884488

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS DONOHUE
NPI
1457884488
Phone
(816) 525-2840
Address
2861 NE INDEPENDENCE AVE STE 201
Enumeration Date
6 April 2017
Last Update Date
22 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
8165252840
Graduation Year
2017 (9 years ago)
PAC ID
4486926920
Group Practice PAC ID
8820370422
Professional Enrollment ID
I20230330002256
Address ID
KS660711850PA505XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

239 PHYSICAL MEDICINE AND REHABILITATION in MO

Provider Addresses for NICHOLAS DONOHUE

  • 2861 NE INDEPENDENCE AVE STE 201

    LEES SUMMIT, MO 640642379

    Phone: (816) 525-2840

    Type: Location

  • 4940 W 137th St Ste B

    Leawood, KS 662243633

    Phone: (816) 525-2840

    Type: Location

  • 626, North 65th Street, Bluemound Heights, Wauwatosa, Milwaukee County, Wisconsin, 53213, United States

    WAUWATOSA, WI 532134056

    Phone:

    Type: Mailing

  • Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 641082640

    Phone: (814) 404-4175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $3,261.

Total Amount is formed as General ($3,261) + Research ($0) + Ownership ($0) = $3,261.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($1,134).

Total Amount

$3,261

General + Research + Ownership

Payments

61

Total payment records

General Amount

$3,261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2023-03-30

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221012002794IPain ManagementMOTBD
I20230330002256IPhysical Medicine And RehabilitationKSTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,023174$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg17238$0
99497Advance care planning, first 30 minutes147127$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10638$0
99214Established patient office or other outpatient visit, 30-39 minutes9467$0
View full utilization report →

Insurance plans in this area (ZIP 64064)

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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: 8820370422View full group profile
NameSpecialtyState
Orthopedic SurgeryKS
Orthopedic SurgeryMO
Physician AssistantMO
Physician AssistantMO
Orthopedic SurgeryMO
Orthopedic SurgeryMO
General SurgeryMO
Physician AssistantMO
Nurse PractitionerMO
Family Practice, Osteopathic Manipulative MedicineMI

Reviews

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Frequently asked questions

How is NICHOLAS DONOHUE identified in CMS data?
CMS-hosted NPPES data lists NICHOLAS DONOHUE with NPI 1457884488.
Does the file indicate NICHOLAS DONOHUE is practicing under active NPI?
Directory data currently reports NICHOLAS DONOHUE as active.
What taxonomy line describes NICHOLAS DONOHUE?
For research purposes, treat NICHOLAS DONOHUE as Pain Medicine (Physical Medicine & Rehabilitation) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS DONOHUE based?
NICHOLAS DONOHUE is tied to Lees Summit, Missouri in the data we show; additional addresses may exist on the full record.
Why does NICHOLAS DONOHUE have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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