2026 NPPES data General Practice Physician NPI 1225064140 MD
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ANDREW DONATO, MD

General Practice Physician in COLUMBIA, South Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
189
Medicare Part D claims · 105 beneficiaries · General Practice Physician avg: 3K
Industry payments
$50.81
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREW DONATO, MD is a General Practice Physician ([object Object]) practicing in COLUMBIA, South Carolina with a Medicare Part D prescribing footprint of 189 claims across 105 beneficiaries . Industry payments of $50.81 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREW DONATO, MD filed 189 Medicare Part D claims in 2023 across COLUMBIA, South Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW DONATO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANDREW DONATO, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/23/2006

NPI 1225064140

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

189 93% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in South Carolina

How General Practice Physician compares to other specialties among South Carolina providers

South Carolina providers

General Practice Physician share within South Carolina

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within South Carolina

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW DONATO, MD is a General Practice Physician provider practicing in COLUMBIA, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225064140. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW DONATO, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 111 DOCTOR CIR, COLUMBIA, SC, 29203, with a listed phone of (800) 491-0909. NPI 1225064140 was issued on 06/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DONATO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 189 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $16K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

111 DOCTOR CIR
COLUMBIA, SC 29203

Provider Details

NPI 1225064140
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 06/23/2006

Hospital and facility affiliations

Facilities where ANDREW DONATO, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SC HOUSE CALLS INC
WEST COLUMBIA, SC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANDREW DONATO, MD. Source: openpaymentsdata.cms.gov.

Total received

$51

Largest payer

Exact Sciences Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

189
Total Claims
$16K
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
267
Total Day Supply
6,714
Generic Drug Cost
$2K
Antibiotic Claims
36

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
3.42
Gender Split
66% female / 34% male
Age Distribution
<65: 21, 65-74: 40, 75-84: 22, 85+: 22

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How ANDREW DONATO, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

ANDREW DONATO, MD's 189 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as DONATO.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW DONATO, MD's specialty?
ANDREW DONATO, MD specializes in General Practice Physician and practices in COLUMBIA, South Carolina. Credentials: MD.
How much does ANDREW DONATO, MD prescribe under Medicare Part D?
In 2023, ANDREW DONATO, MD wrote 189 Medicare Part D claims totaling $16K in drug costs for 105 beneficiaries.
Where is ANDREW DONATO, MD located?
ANDREW DONATO, MD is located at 111 DOCTOR CIR, COLUMBIA, SC, 29203. Phone: (800) 491-0909.
What is ANDREW DONATO, MD's NPI number?
ANDREW DONATO, MD's National Provider Identifier (NPI) is 1225064140, issued on 06/23/2006.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does ANDREW DONATO, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW DONATO, MD's most frequently prescribed drugs include Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW DONATO, MD accept Medicare?
ANDREW DONATO, MD appears in CMS Medicare data with 189 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW DONATO, MD's credentials?
ANDREW DONATO, MD's NPI is 1225064140 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology