JACQUELINE KATHRYN DONOVAN (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1225394596
Foot & Ankle Surgery Podiatrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
953 PODIATRY in OH
Provider Addresses for JACQUELINE KATHRYN DONOVAN (D.P.M.)
6002 E MAIN ST
COLUMBUS, OH 432133355
Phone: (614) 866-2477
Fax: (614) 866-2494
Type: Mailing
111 S Grant Ave
Columbus, OH 432154701
Phone: (614) 566-9041
Type: Location
6002 E Main St
Columbus, OH 43213
Phone: (614) 866-2477
Fax: (614) 866-2494
Type: Location
23175 COMMERCE PARK STE C
BEACHWOOD, OH 441225806
Phone: (216) 299-6774
Fax: (440) 583-3097
Type: Mailing
88 CENTER RD STE 210
BEDFORD, OH 441462708
Phone: (440) 588-8197
Fax: (440) 583-3097
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 145 Open Payments records for all available years, with a total value of $29,446.
Total Amount is formed as General ($29,446) + Research ($0) + Ownership ($0) = $29,446.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Stryker Corporation ($24,076).
Total Amount
$29,446
General + Research + Ownership
Payments
145
Total payment records
General Amount
$29,446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $24,076 |
| Gramercy Extremity Orthopedics LLC | $2,190 |
| TREACE MEDICAL CONCEPTS, INC. | $693 |
| Smith+Nephew, Inc. | $505 |
| Organogenesis Inc. | $445 |
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: 2016-06-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160617001004 | I | Podiatry | OH | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 142 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 70 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 83 | 46 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 60 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 33 | $0 |
Insurance plans in this area (ZIP 43213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physical Therapist In Private Practice | OH | |
| D E R M A T O L O G Y | OH | |
| - | OH | |
| P O D I A T R Y | OH | |
| - | OH | |
| Sports Medicine | OH |
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