NPI registry status
Active
2026 NPPES data Specialist NPI 1154312759 M.D.
Verify on CMS → Donald Colvin, M.D.
Specialist in Fairfax, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
36
Medicare Part D claims · 11 beneficiaries · Specialist avg: 2K
MIPS score
75/100
CMS neutral threshold · no category scores published
What the federal data shows
Donald Colvin, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 36 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 36
- Part D claims, 2024
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Donald Colvin, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1154312759), first enumerated 11/02/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 36 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1154312759 · Specialist
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-NEUTRAL · RX-TRACE · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1154312759
- ENUM-LEGACY 2005
- TAX-MEGA 70K Specialist
- MIPS-NEUTRAL 75/100
- RX-TRACE 36
- BOOK-LIGHT 1,007 in Virginia
- PHOTO-ENUM David Posner, M.D. · 2005
Donald Colvin, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
36 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Donald Colvin, M.D.?
CMS neutral score, not measuredPrimary specialty
Specialist
Medicare Part D claims
36 98% vs specialty avg
MIPS final score
75/100
Specialty distribution in Virginia
How Specialist compares to other specialties among Virginia providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1154312759 |
|---|---|
| Specialty | Specialist |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/02/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
36
Total Claims
$2K
Total Drug Cost
11
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 78
- Total Day Supply
- 1,974
- Generic Drug Cost
- $2K
- Opioid Claims
- 12 (33.3% rate)
Patient Demographics
- Average Patient Age
- 69.9 years
- Avg HCC Risk Score
- 1.21
Specialist Overview
How Donald Colvin, M.D. fits within the Specialist landscape nationally.
69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider
Donald Colvin, M.D.'s 36 claims are below the specialty average of 1,524.
Nationwide Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Colvin, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Specialist Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Colvin.
One of 1,007 Specialist providers enrolled in Virginia, 5 are shown here.
Dr. Hasan Abdallah
MD
Reston, VA
Dr. Stephen Abramson
M.D.
Richmond, VA
Dr. Richard Abriss
M.D.
Virginia Beach, VA
Joseph Acka
South Hill, VA
Dr. Jon Adleberg
M.D.
Chesapeake, VA
Compare Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Donald Colvin, M.D.'s specialty? ▼
Donald Colvin, M.D. specializes in Specialist and practices in Fairfax, Virginia. Credentials: M.D..
How much does Donald Colvin, M.D. prescribe under Medicare Part D? ▼
In 2024, Donald Colvin, M.D. wrote 36 Medicare Part D claims totaling $2K in drug costs for 11 beneficiaries.
What is Donald Colvin, M.D.'s Medicare quality score? ▼
Donald Colvin, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Donald Colvin, M.D. located? ▼
Donald Colvin, M.D. is located at 2710 PROPERSITY AVENUE, Fairfax, VA, 22031. Phone: (703) 280-2841.
What is Donald Colvin, M.D.'s NPI number? ▼
Donald Colvin, M.D.'s National Provider Identifier (NPI) is 1154312759, issued on 11/02/2005.
Does Donald Colvin, M.D. prescribe opioids? ▼
Yes, Donald Colvin, M.D. had 12 opioid claims in 2024 with an opioid prescribing rate of 33.3%.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
Does Donald Colvin, M.D. accept Medicare? ▼
Donald Colvin, M.D. appears in CMS Medicare data with 36 Part D claims and 11 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Donald Colvin, M.D.'s credentials? ▼
Donald Colvin, M.D.'s NPI is 1154312759 with credentials M.D.. 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.