DR. ANTHONY A. DONATO (M.D.) – Internal Medicine Physician, NPI 1306849815
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,423 HOSPITALIST in PA
Provider Addresses for DR. ANTHONY A. DONATO (M.D.)
6th Ave and Spruce Street
West Reading, PA 196111428
Phone: (610) 988-5455
Type: Location
Reading Hospital, 420, South 5th Avenue, West Reading, Berks County, Pennsylvania, 19611, United States
WEST READING, PA 196112143
Phone: (484) 628-0799
Type: Location
PO BOX 13579
READING, PA 196123579
Phone: (484) 628-0799
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-09-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080923000182 | I | Hospitalist | PA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 134 | 60 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 68 | 68 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 41 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 28 | 15 | $0 |
Insurance plans in this area (ZIP 19611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| General Surgery, Critical Care (Intensivists) | PA | |
| - | PA | |
| - | PA | |
| N E U R O L O G Y | PA | |
| Hospitalist, Internal Medicine | PA | |
| - | PA | |
| General Surgery | MO | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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