DR. CHESTER JOHN III DONNALLY (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1730506072
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
Provider Addresses for DR. CHESTER JOHN III DONNALLY (M.D.)
17051 DALLAS PKWY STE 400
ADDISON, TX 750017108
Phone: (214) 370-3535
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 78 Open Payments records for all available years, with a total value of $83,409.
Total Amount is formed as General ($83,409) + Research ($0) + Ownership ($0) = $83,409.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Evolution Spine, LLC ($26,528).
Total Amount
$83,409
General + Research + Ownership
Payments
78
Total payment records
General Amount
$83,409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Evolution Spine, LLC | $26,528 |
| Fuse Medical, Inc. | $25,000 |
| Bioventus LLC | $16,903 |
| Globus Medical, Inc. | $8,359 |
| Osseus Fusion Systems, LLC | $4,231 |
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: 2020-07-10
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 |
|---|---|---|---|---|
| I20200710002631 | I | Orthopedic Surgery | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 165 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 152 | 152 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 103 | 72 | $0 |
| 72114 | X-ray lower and sacral spine, minimum of 6 views | 94 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 67 | $0 |
Insurance plans in this area (ZIP 75001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Orthopedic Surgery | IL | |
| Physician Assistant | TX | |
| Pain Management | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX |
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