2026 NPPES data Internal Medicine Physician NPI 1225036296
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MICHAEL DONNELLY

Internal Medicine Physician in WASHINGTON, District of Columbia. 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
54
Medicare Part D claims · 13 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
76.555/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$122.85
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL DONNELLY is a Internal Medicine Physician ([object Object]) practicing in WASHINGTON, District of Columbia with a Medicare Part D prescribing footprint of 54 claims across 13 beneficiaries . Their CMS MIPS Final Score of 76.555/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $122.85 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL DONNELLY reported a CMS MIPS final score of 76.555 out of 100, below the 83.1 national average, and filed 54 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL DONNELLY practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MICHAEL DONNELLY at a glance

Below national average

NPI registry status

Active

Issued 07/13/2005

NPI 1225036296

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

54 98% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

76.555/100 6.5449999999999875% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Internal Medicine Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Internal Medicine Physician share within District of Columbia

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within District of Columbia

Medicare quality performance — MIPS

MICHAEL DONNELLY's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
76.555/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 76.555/100 vs national avg 83.1

0%100%National avg83%76.6%
MIPS final score (Internal Medicine Physician) — 76.555/100 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).

MICHAEL DONNELLY is a Internal Medicine Physician provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1225036296. 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.

MICHAEL DONNELLY appears in the CMS NPPES registry as a Internal Medicine Physician provider at 3800 RESERVOIR RD NW, WASHINGTON, DC, 20007, with a listed phone of (202) 444-8168. NPI 1225036296 was issued on 07/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DONNELLY 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 54 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $11K 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 76.555/100 for the 2023 performance year (Quality 63.1616, Cost 55.9413), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

3800 RESERVOIR RD NW
WASHINGTON, DC 20007

Provider Details

NPI 1225036296
Specialty Internal Medicine Physician
Gender Male
NPI Issued 07/13/2005

CMS Quality Score (MIPS)

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

76.555
Final Score
Avg: 83.1
63.1616
Quality
55.9413
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL DONNELLY 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.

MEDSTAR MEDICAL GROUP II LLC
WASHINGTON, DC
MGMC LLC
WASHINGTON, DC

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 MICHAEL DONNELLY. Source: openpaymentsdata.cms.gov.

Total received

$123

Largest payer

AstraZeneca Pharmaceuticals LP

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.

54
Total Claims
$11K
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
142
Total Day Supply
4,230
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
0.81

Internal Medicine Physician Overview

How MICHAEL DONNELLY fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MICHAEL DONNELLY's 54 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as DONNELLY.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL DONNELLY's specialty?
MICHAEL DONNELLY specializes in Internal Medicine Physician and practices in WASHINGTON, District of Columbia.
How much does MICHAEL DONNELLY prescribe under Medicare Part D?
In 2023, MICHAEL DONNELLY wrote 54 Medicare Part D claims totaling $11K in drug costs for 13 beneficiaries.
What is MICHAEL DONNELLY's Medicare quality score?
MICHAEL DONNELLY has a CMS MIPS Final Score of 76.555/100 (Quality: 63.1616, Cost: 55.9413). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL DONNELLY located?
MICHAEL DONNELLY is located at 3800 RESERVOIR RD NW, WASHINGTON, DC, 20007. Phone: (202) 444-8168.
What is MICHAEL DONNELLY's NPI number?
MICHAEL DONNELLY's National Provider Identifier (NPI) is 1225036296, issued on 07/13/2005.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
Does MICHAEL DONNELLY accept Medicare?
MICHAEL DONNELLY appears in CMS Medicare data with 54 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL DONNELLY's credentials?
MICHAEL DONNELLY's NPI is 1225036296. 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