DR. MARGARET DONLON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1003053976

DR. MARGARET DONLON (MD) is a healthcare provider. based in Red bank, New Jersey. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials MD. They hold a License No. 25MA09046000 (NJ). The NPI Number for DR. MARGARET DONLON (MD) is 1003053976

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARGARET DONLON (MD)
NPI
1003053976
Phone
(732) 741-2313
Address
80 OAK HILL RD
Enumeration Date
14 January 2009
Last Update Date
11 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327412313109
Graduation Year
2006 (20 years ago)
PAC ID
7113180522
Group Practice PAC ID
8022906056
Professional Enrollment ID
I20120523000076
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARGARET DONLON (MD)

  • Hill Road, Mountainwood, Red Bank, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37415, United States

    RED BANK, NJ 077015727

    Phone: (732) 741-2313

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $500.

Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($500).

Total Amount

$500

General + Research + Ownership

Payments

1

Total payment records

General Amount

$500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2012-05-23

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
I20120523000076IPhysical Medicine And RehabilitationNJTBD

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2,845383$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes964295$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes445382$0
View full utilization report →

Insurance plans in this area (ZIP 07701)

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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: 8022906056View full group profile
NameSpecialtyState
Orthopedic SurgeryNJ
Physician AssistantMA
Orthopedic SurgeryNJ
-NJ
Orthopedic SurgeryNJ
Physical Medicine And Rehabilitation, Pain ManagementNJ
Physician AssistantNJ
Physical Medicine And RehabilitationTX
Orthopedic SurgeryNJ
Orthopedic SurgeryNJ

Reviews

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Frequently asked questions

Is there an official ID for DR. MARGARET DONLON (MD) in U.S. healthcare records?
The official identifier for DR. MARGARET DONLON (MD) is NPI 1003053976.
Would DR. MARGARET DONLON (MD) appear as active to a payer?
You can treat DR. MARGARET DONLON (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MARGARET DONLON (MD)?
DR. MARGARET DONLON (MD) is associated with Physical Medicine & Rehabilitation Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in New Jersey is DR. MARGARET DONLON (MD) registered?
Use Red Bank, New Jersey as the headline location for DR. MARGARET DONLON (MD) here.
Can I trust this NPI listing for DR. MARGARET DONLON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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