NPI registry status
Active
2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1134318488 M.D.
Verify on CMS → Nicole Doonan, M.D.
Neurology with Special Qualifications in Child Neurology Physician in Saint Paul, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,803 in Neurology with Special Qualifications in Child Neurology Physician, 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
74
Medicare Part D claims · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nicole Doonan, M.D. filed 74 Medicare Part D claims in 2023 as a Neurology with Special Qualifications in Child Neurology Physician in Saint Paul, Minnesota, prescribing 76% generic.
- 74
- Part D claims, 2023
- 76%
- generic prescribing
- 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.
Nicole Doonan, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
74 0th percentile higher than 0% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Nicole Doonan, M.D. 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).
What does the federal data show about Nicole Doonan, M.D.?
Quality data not reportedPrimary specialty
Neurology with Special Qualifications in Child Neurology Physician
Medicare Part D claims
74 79% vs specialty avg
Specialty distribution in Minnesota
How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Minnesota providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Neurology with Special Qualifications in Child Neurology Physician. Verify directly:
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).
Nicole Doonan, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at 200 UNIVERSITY AVE E, Saint Paul, MN, 55101, with a listed phone of (651) 229-3909. NPI 1134318488 was issued on 10/22/2007.
Medicare Part D records for calendar year 2023 show 74 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $21K in drug spend, split 24% brand-name and 76% generic by claim count.
Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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
Provider Details
| NPI | 1134318488 |
|---|---|
| Specialty | Neurology with Special Qualifications in Child Neurology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 10/22/2007 |
Hospital and facility affiliations
Facilities where Nicole Doonan, M.D. 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.
Gillette Childrens Specialty Healthcare
Saint Paul, MN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Nicole Doonan, M.D. - brand share 24.0%
Neurology with Special Qualifications in Child Neurology Physician average
24% brand-name claims vs 76% generic, on 74 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
74
Total Claims
$21K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 88
- Total Day Supply
- 2,388
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $12K
- Generic Drug Cost
- $10K
Patient Demographics
- Average Patient Age
- 27.0 years
- Avg HCC Risk Score
- 1.49
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Lamotrigine | 12 |
| Felbamate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neurology with Special Qualifications in Child Neurology Physician in MN →
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Neurology with Special Qualifications in Child Neurology Physician Overview
How Nicole Doonan, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.
1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider
Nicole Doonan, M.D.'s 74 claims are below the specialty average of 359.
Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Doonan.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology with Special Qualifications in Child Neurology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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How insurance networks affect your costs
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Frequently Asked Questions
What is Nicole Doonan, M.D.'s specialty? ▼
Nicole Doonan, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in Saint Paul, Minnesota. Credentials: M.D..
How much does Nicole Doonan, M.D. prescribe under Medicare Part D? ▼
In 2023, Nicole Doonan, M.D. wrote 74 Medicare Part D claims totaling $21K in drug costs for N/A beneficiaries.
Where is Nicole Doonan, M.D. located? ▼
Nicole Doonan, M.D. is located at 200 UNIVERSITY AVE E, Saint Paul, MN, 55101. Phone: (651) 229-3909.
What is Nicole Doonan, M.D.'s NPI number? ▼
Nicole Doonan, M.D.'s National Provider Identifier (NPI) is 1134318488, issued on 10/22/2007.
Does Nicole Doonan, M.D. prescribe more brand-name or generic drugs? ▼
Nicole Doonan, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $12K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US? ▼
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does Nicole Doonan, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Nicole Doonan, M.D.'s most frequently prescribed drugs include Lamotrigine, Felbamate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Doonan, M.D. accept Medicare? ▼
Nicole Doonan, M.D. appears in CMS Medicare data with 74 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Doonan, M.D.'s credentials? ▼
Nicole Doonan, M.D.'s NPI is 1134318488 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 (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
Compiled from official public sources by the PlainDoctor editorial team.