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2026 NPPES data Hospice and Palliative Medicine (Internal Medicine) Physician NPI 1417410895
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Paul Donegan

Hospice and Palliative Medicine (Internal Medicine) Physician in Danville, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,637 in Hospice and Palliative Medicine (Internal Medicine) 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
685
Medicare Part D claims · 171 beneficiaries · Hospice and Palliative Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1/100
▲ 12 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Paul Donegan reported a CMS MIPS final score of 95.1/100 - above the 83.5 national average - and filed 685 Medicare Part D claims in 2024.

95.1/100
MIPS score · +12 vs avg
685
Part D claims, 2024
95%
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.

Federal trust snapshot

What official records show about Paul Donegan

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1417410895), first enumerated 04/11/2019.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 685 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)

    Reported a CMS MIPS final score of 95.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Paul Donegan's individual license status. Verify directly with the state medical board.

    Source: PA-BOM annual report 2023

  • 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 1417410895 · Hospice and Palliative Medicine (Internal Medicine) Physician

NPI-10 · ENUM-RECENT · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1417410895
  • ENUM-RECENT 2019
  • TAX-NARROW 1,637
  • MIPS-ELITE 95.1/100
  • RX-LIGHT 685
  • BOOK-THIN 82 in Pennsylvania
  • PHOTO-FINISH Kimberly St. Jean · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Paul Donegan's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

95 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Paul Donegan sits

This provider among hospice and palliative medicine (internal medicine) physician peers

Across the 329 hospice and palliative medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Donegan writes more Part D claims than 71% of them and scores higher on MIPS quality than 75% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Paul Donegan, Part D claim volume, percentile in specialty: 71 · MIPS quality, percentile: 75
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hospice and palliative medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Paul Donegan. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Paul Donegan practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Paul Donegan?

High performer (top quartile)

NPI registry status

Active

Issued 04/11/2019

NPI 1417410895

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician

Niche

1,637 US NPIs in this specialty

Medicare Part D claims

685 48% vs specialty avg

2024 prescription claims

Specialty avg: 1,322

MIPS final score

95.1/100 11.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Hospice and Palliative Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…6%Pharmacist5%Physical Therapist4.8%Mental Health Counselor4%Internal Medicine Physician3.3%Professional Counselor3.2%Hospice and Palliative Medic…0%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Paul Donegan's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
95.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%95.1%
MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) - 95.1/100 vs national avg 83.5
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

100 N ACADEMY AVE
Danville, PA 17822
(570) 271-7383

Provider Details

NPI 1417410895
Specialty Hospice and Palliative Medicine (Internal Medicine) Physician
Gender Male
NPI Issued 04/11/2019

CMS Quality Score (MIPS)

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

95.1056
Final Score
Measured-score avg: 83.5
86.8042
Quality
99
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Paul Donegan 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.

Geisinger Clinic
Danville, PA

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

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Paul Donegan. To verify Paul Donegan's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Paul Donegan - brand share 5.0%
Hospice and Palliative Medicine (Internal Medicine) Physician average

5% brand-name claims vs 95% generic, on 685 2024 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 2024.

685
Total Claims
$33K
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
728.033
Total Day Supply
17,216
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$7K
Generic Drug Cost
$25K
Opioid Claims
283 (41.3% rate)

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
3.41
Gender Split
53% female / 47% male
Age Distribution
<65: 40, 65-74: 88, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Paul Donegan prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Oxycodone Hcl
 131
Olanzapine
 63
Duloxetine Hcl
 56
Gabapentin
 48
Buprenorphine
 30
Hydromorphone Hcl
 28
Methadone Hcl
 26
Naloxone Hcl
 26
Ondansetron Hcl
 25
Morphine Sulfate Er
Morphine Sulfate
21

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

More Hospice and Palliative Medicine (Internal Medicine) Physician in PA → All providers in Pennsylvania → Compare specialties →

Hospice and Palliative Medicine (Internal Medicine) Physician Overview

How Paul Donegan fits within the Hospice and Palliative Medicine (Internal Medicine) Physician landscape nationally.

1,637
Hospice and Palliative Medicine (Internal Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Internal Medicine) Physician
1,322
Avg Claims per Provider

Paul Donegan's 685 claims are below the specialty average of 1,322.

Nationwide Hospice and Palliative Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Donegan, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (95.1 here).

Kimberly St. Jean 95.1 VA Miyeon Oh 95.2 NY Carl Reynolds 95.2 NY Elizabeth Spina 95.2 NJ

Same NPPES enumeration year (2019)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Seon Lee Saint Louis, MO Ieva Malhotra Miami Lakes, FL Rosemary Ramp Saint Paul, MN Elizabeth Gil Ramirez Jacksonville, FL

Nearby Hospice and Palliative Medicine (Internal Medicine) Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Donegan.

One of 82 Hospice and Palliative Medicine (Internal Medicine) Physician providers enrolled in Pennsylvania, 5 are shown here.

William Adamiak
Philadelphia, PA
Dr. Huma Ansari
M.D.
Philadelphia, PA
Dr. Michael Barkowski
D.O.
Pittsburgh, PA
Mamta Bhatnagar
Pittsburgh, PA
Dr. Christopher Bierman
MD
Allentown, PA

Compare Hospice and Palliative Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Paul Donegan's specialty? ▼
Paul Donegan specializes in Hospice and Palliative Medicine (Internal Medicine) Physician and practices in Danville, Pennsylvania.
How much does Paul Donegan prescribe under Medicare Part D? ▼
In 2024, Paul Donegan wrote 685 Medicare Part D claims totaling $33K in drug costs for 171 beneficiaries.
What is Paul Donegan's Medicare quality score? ▼
Paul Donegan has a CMS MIPS Final Score of 95.1/100 (Quality: 86.8). 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 Paul Donegan located? ▼
Paul Donegan is located at 100 N ACADEMY AVE, Danville, PA, 17822. Phone: (570) 271-7383.
What is Paul Donegan's NPI number? ▼
Paul Donegan's National Provider Identifier (NPI) is 1417410895, issued on 04/11/2019.
Does Paul Donegan prescribe more brand-name or generic drugs? ▼
Paul Donegan's prescribing is 5% brand-name and 95% generic drugs by claim count, with $7K in brand drug costs.
Does Paul Donegan prescribe opioids? ▼
Yes, Paul Donegan had 283 opioid claims in 2024 with an opioid prescribing rate of 41.3%.
How many Hospice and Palliative Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 1,637 Hospice and Palliative Medicine (Internal Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Internal Medicine) Physician provider writes 1,322 Medicare Part D claims per year.
What drugs does Paul Donegan prescribe most often? ▼
Based on 2024 Medicare Part D data, Paul Donegan's most frequently prescribed drugs include Oxycodone Hcl, Olanzapine, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Donegan accept Medicare? ▼
Paul Donegan appears in CMS Medicare data with 685 Part D claims and 171 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Donegan's credentials? ▼
Paul Donegan's NPI is 1417410895. 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

Compiled from official public sources by the editorial process.

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.