DR. KIM DONALDSON (MD) – Emergency Medicine Physician, NPI 1366495871

DR. KIM DONALDSON (MD) is a healthcare provider. based in Glen gardner, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA071581 (NJ). The NPI Number for DR. KIM DONALDSON (MD) is 1366495871

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIM DONALDSON (MD)
NPI
1366495871
Phone
(908) 803-7117
Address
19 SHADY LN
Enumeration Date
18 May 2006
Last Update Date
2 December 2019

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
9549395000
Graduation Year
1999 (27 years ago)
PAC ID
8123092533
Group Practice PAC ID
4688998990
Professional Enrollment ID
I20040823000381
Address ID
NJ078401799HA651XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for DR. KIM DONALDSON (MD)

  • 19 SHADY LN

    GLEN GARDNER, NJ 088263009

    Phone: (908) 803-7117

    Type: Mailing

  • St. Luke's Hospital - Warren Campus, 185, Roseberry Street, Hillcrest, Phillipsburg, Warren County, New Jersey, 08865, United States

    PHILLIPSBURG, NJ 088651690

    Phone: (908) 859-6700

    Fax: (908) 859-6812

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: ABBVIE INC. ($340).

Total Amount

$360

General + Research + Ownership

Payments

9

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$340
CSL Behring$20
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: 2004-08-23

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
I20040823000381IEmergency MedicineNJTBD

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
99285Emergency department visit with high level of medical decision making154152$0
99284Emergency department visit with moderate level of medical decision making10395$0
99213Established patient office or other outpatient visit, 20-29 minutes4517$0
99214Established patient office or other outpatient visit, 30-39 minutes1911$0
99291Critical care, first 30-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 08826)

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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: 4688998990View full group profile
NameSpecialtyState
Emergency MedicineNJ
Physician AssistantNJ
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicineNJ

Reviews

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Frequently asked questions

What is the standard ID for DR. KIM DONALDSON (MD) in the U.S.?
In the U.S., DR. KIM DONALDSON (MD) is identified by NPI 1366495871.
Should I treat DR. KIM DONALDSON (MD) as an active provider?
Patients and plans typically see DR. KIM DONALDSON (MD) as active in the national extract.
What services align with DR. KIM DONALDSON (MD)'s listing?
DR. KIM DONALDSON (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KIM DONALDSON (MD)?
The directory associates DR. KIM DONALDSON (MD) with Glen Gardner, New Jersey. Check all listed addresses for suites or satellite offices.
Can I export DR. KIM DONALDSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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