DR. DONALD WILLIAM JR. SKENANDORE (M.D.) – Psychiatry Physician, NPI 1255794665

DR. DONALD WILLIAM JR. SKENANDORE (M.D.) is a healthcare provider. based in Madison, Wisconsin. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 68457 (WI). The NPI Number for DR. DONALD WILLIAM JR. SKENANDORE (M.D.) is 1255794665

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD WILLIAM JR. SKENANDORE (M.D.)
NPI
1255794665
Phone
(608) 256-1901
Address
2500 Overlook Ter
Enumeration Date
2 April 2016
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6088291800
Graduation Year
2016 (10 years ago)
PAC ID
9436443124
Group Practice PAC ID
1254362312
Professional Enrollment ID
I20200221001562
Address ID
WI537192092MA7633XWAYX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

62 GENERAL PRACTICE in WI

Provider Addresses for DR. DONALD WILLIAM JR. SKENANDORE (M.D.)

  • 2500 Overlook Ter

    Madison, WI 537052254

    Phone: (608) 256-1901

    Type: Location

  • Ganser Way, Madison, Dane County, Wisconsin, 53719, United States

    MADISON, WI 537192092

    Phone: (608) 829-1800

    Fax: (608) 829-1885

    Type: Location

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: 2020-02-21

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
I20200221001562IGeneral PracticeWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53705)

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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: 1254362312View full group profile
NameSpecialtyState
Mental Health CounselorWI
-WI
-WI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
P S Y C H I A T R YVT
Clinical Social WorkerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What identifier follows DR. DONALD WILLIAM JR. SKENANDORE (M.D.) across health systems?
The NPI 1255794665 uniquely identifies DR. DONALD WILLIAM JR. SKENANDORE (M.D.) in U.S. healthcare data.
Should I treat DR. DONALD WILLIAM JR. SKENANDORE (M.D.) as an active provider?
Patients and plans typically see DR. DONALD WILLIAM JR. SKENANDORE (M.D.) as active in the national extract.
What does the directory say DR. DONALD WILLIAM JR. SKENANDORE (M.D.) does?
Insurance directories may phrase it differently, but here DR. DONALD WILLIAM JR. SKENANDORE (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DONALD WILLIAM JR. SKENANDORE (M.D.)?
The directory associates DR. DONALD WILLIAM JR. SKENANDORE (M.D.) with Madison, Wisconsin. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. DONALD WILLIAM JR. SKENANDORE (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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