DR. JOHN DONOVAN (MD) – Otolaryngology Physician, NPI 1407850852

DR. JOHN DONOVAN (MD) is a healthcare provider. based in Salem, Oregon. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. BD1452399 (OR). The NPI Number for DR. JOHN DONOVAN (MD) is 1407850852

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN DONOVAN (MD)
NPI
1407850852
Phone
(503) 581-1567
Address
3099 RIVER RD S
Enumeration Date
13 June 2005
Deactivation Date
24 March 2006
Reactivation Date
28 March 2006
Last Update Date
31 October 2011

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5035811567
Graduation Year
1987 (39 years ago)
PAC ID
6507940939
Group Practice PAC ID
5597737643
Professional Enrollment ID
I20110301001056
Address ID
OR973029754SA3099XSXXX403
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

182 OTOLARYNGOLOGY in OR

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Provider Addresses for DR. JOHN DONOVAN (MD)

  • River Road South, Salem, Marion County, Oregon, 97311, United States

    SALEM, OR 973029754

    Phone: (503) 581-1567

    Fax: (503) 399-1229

    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 6 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($90).

Total Amount

$163

General + Research + Ownership

Payments

6

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2011-03-01

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
I20110301001056IOtolaryngologyORTBD

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
99203New patient office or other outpatient visit, 30-44 minutes9595$0
99213Established patient office or other outpatient visit, 20-29 minutes9585$0
31575Diagnostic exam of voice box using a flexible endoscope7572$0
99212Established patient office or other outpatient visit, 10-19 minutes6359$0
99214Established patient office or other outpatient visit, 30-39 minutes6053$0
View full utilization report →

Insurance plans in this area (ZIP 97302)

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Provider's Procedures

DR. JOHN DONOVAN (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYOR76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2724

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: 5597737643View full group profile
NameSpecialtyState
Physician AssistantOR
O T O L A R Y N G O L O G YNC
Physician AssistantOR
O T O L A R Y N G O L O G YTX
Physician AssistantOR
O T O L A R Y N G O L O G YMI
Physician AssistantUT
Qualified AudiologistOR
Qualified AudiologistOR
O T O L A R Y N G O L O G YOR

Reviews

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Frequently asked questions

How is DR. JOHN DONOVAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JOHN DONOVAN (MD) with NPI 1407850852.
Does the file indicate DR. JOHN DONOVAN (MD) is practicing under active NPI?
Directory data currently reports DR. JOHN DONOVAN (MD) as active.
What is DR. JOHN DONOVAN (MD)'s specialty?
The listing groups DR. JOHN DONOVAN (MD) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOHN DONOVAN (MD)?
DR. JOHN DONOVAN (MD)'s geographic hint is Salem, Oregon in our summary view.
Why does DR. JOHN DONOVAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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