2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1003053976 MD
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MARGARET DONLON, MD

Physical Medicine & Rehabilitation Physician in RED BANK, New Jersey. 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
55
Medicare Part D claims · 11 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
63.2373/100
▼ 20 pts below national avg 83.1 · [object Object]
Industry payments
$500
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARGARET DONLON, MD reported a CMS MIPS final score of 63.2373/100 — below the 83.1 national average — and filed 55 Medicare Part D claims in 2023.

63.2373/100
MIPS score · -20 vs avg
55
Part D claims, 2023
Likely
board-certified (heuristic)

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.

MARGARET DONLON, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

63 6th percentile higher than 6% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MARGARET DONLON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MARGARET DONLON, MD?

Below national average

NPI registry status

Active

Issued 01/14/2009

NPI 1003053976

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

55 93% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

63.2373/100 19.862699999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Physical Medicine & Rehabilitation Physician compares to other specialties among New Jersey providers

New Jersey providers

Physical Medicine & Rehabilitation Physician share within New Jersey

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within New Jersey

Medicare quality performance — MIPS

MARGARET DONLON, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
63.2373/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 63.2373/100 vs national avg 83.1

0%100%National avg83%63.2%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 63.2373/100 vs national avg 83.1

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).

MARGARET DONLON, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 80 OAK HILL RD, RED BANK, NJ, 07701, with a listed phone of (732) 741-2313. NPI 1003053976 was issued on 01/14/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DONLON 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 55 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $2K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 63.2373/100 for the 2023 performance year (Quality 38.9461, Cost 51.0116), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

80 OAK HILL RD
RED BANK, NJ 07701

Provider Details

NPI 1003053976
Specialty Physical Medicine & Rehabilitation Physician
Credentials MD
Gender Female
NPI Issued 01/14/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

63.2373
Final Score
Avg: 83.1
38.9461
Quality
51.0116
Cost
85
Promoting Interoperability

Reporting: Group practice

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 MARGARET DONLON, MD. Source: openpaymentsdata.cms.gov.

Total received

$500

Largest payer

E.R. Squibb & Sons, L.L.C.

Most common payment type

Gift

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.

55
Total Claims
$2K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
55
Total Day Supply
544
Brand Drug Cost
$0
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
78.8 years
Avg HCC Risk Score
2.66

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lidocaine
39

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

Physical Medicine & Rehabilitation Physician Overview

How MARGARET DONLON, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

MARGARET DONLON, MD's 55 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as DONLON.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARGARET DONLON, MD's specialty?
MARGARET DONLON, MD specializes in Physical Medicine & Rehabilitation Physician and practices in RED BANK, New Jersey. Credentials: MD.
How much does MARGARET DONLON, MD prescribe under Medicare Part D?
In 2023, MARGARET DONLON, MD wrote 55 Medicare Part D claims totaling $2K in drug costs for 11 beneficiaries.
What is MARGARET DONLON, MD's Medicare quality score?
MARGARET DONLON, MD has a CMS MIPS Final Score of 63.2373/100 (Quality: 38.9461, Cost: 51.0116). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGARET DONLON, MD located?
MARGARET DONLON, MD is located at 80 OAK HILL RD, RED BANK, NJ, 07701. Phone: (732) 741-2313.
What is MARGARET DONLON, MD's NPI number?
MARGARET DONLON, MD's National Provider Identifier (NPI) is 1003053976, issued on 01/14/2009.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does MARGARET DONLON, MD prescribe most often?
Based on 2023 Medicare Part D data, MARGARET DONLON, MD's most frequently prescribed drugs include Lidocaine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGARET DONLON, MD accept Medicare?
MARGARET DONLON, MD appears in CMS Medicare data with 55 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGARET DONLON, MD's credentials?
MARGARET DONLON, MD's NPI is 1003053976 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.
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 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