DR. HEIDI B DONNELLY (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1861449274
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for DR. HEIDI B DONNELLY (M.D.)
3025 GOVERNORS PLACE BLVD
DAYTON, OH 454091330
Phone: (937) 293-5567
Fax: (937) 293-5568
Type: Location
830, Oakwood Avenue, Oakwood, Montgomery County, Ohio, 45419, United States
OAKWOOD, OH 454192937
Phone: (937) 643-9213
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $330.
Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($68).
Total Amount
$330
General + Research + Ownership
Payments
17
Total payment records
General Amount
$330
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
| Company | Amount |
|---|---|
| Lilly USA, LLC | $68 |
| MIMEDX Group, Inc. | $55 |
| Amgen Inc. | $55 |
| Regeneron Healthcare Solutions, Inc. | $54 |
| GENZYME CORPORATION | $34 |
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: 2006-07-28
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 |
|---|---|---|---|---|
| I20060728000182 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 222 | 181 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 91 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 112 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 68 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 45409)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | OH | |
| D E R M A T O L O G Y | PA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | NC | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA |
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